NPI 1154743227

Lakeview Ent, PA

Organisation Plastic Surgery within the Head & Neck (Otolaryngology) Physician Dallas, TX

Practice location

Address: 6301 Gaston Ave, Dallas, TX 75214-3922
Phone: (806) 674-8261
Fax: (214) 691-8292
Mailing address: PO Box 181022, Dallas, TX 75218-8022

Authorised official

Name: Kyle Kennedy
Title: President
Phone: (806) 674-8261

Registered specialties

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence K0325 (TX)

Other Otolaryngology providers in Texas →

Registry record

NPI: 1154743227
Entity type: Organization
NPI issued: 9 Jan 2014
Record last updated: 9 Jan 2014

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.