NPI 1003096991

Lakeshore Ent

Organisation Facial Plastic Surgery Physician Granbury, TX

Practice location

Address: 1305 Paluxy Rd Suite a, Granbury, TX 76048-5641
Phone: (817) 573-6673
Fax: (817) 573-9783

Authorised official

Name: Stephen George Krzeminski
Title: Owner
Phone: (817) 573-6673

Registered specialties

Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YS0123X Licence K8272 (TX)

Other Otolaryngology providers in Texas →

Registry record

NPI: 1003096991
Entity type: Organization
NPI issued: 7 Nov 2007
Record last updated: 15 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.