Active NPI
Three Lakes Surgicare PLLC
- Ambulatory Surgical Clinic/Center
- West Lake Hills, TX
National Provider Identifier
1366711632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- P1720
- Legal business name
- THREE LAKES SURGICARE PLLC
- Practice address
- 5000 Bee Cave Rd Ste 202
West Lake Hills, TX 78746-5254 - Phone
- (512) 328-8900
- NPI assigned
- Dec 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Craig H Thomajan, D.P.M.
- Title
- Doctor of Podiatric Medicine
- Phone
- (512) 328-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | P1720 | TX | Primary |
Addresses
Primary practice location
5000 Bee Cave Rd Ste 202
West Lake Hills, TX 78746-5254
Mailing address
5000 Bee Cave Rd Ste 202
West Lake Hills, TX 78746-5254
Phone (512) 328-8900
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323907200000",
"number": "1366711632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 BEE CAVE RD STE 202",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465254",
"telephone_number": "512-328-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 BEE CAVE RD STE 202",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465254",
"telephone_number": "512-328-8900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THREE LAKES SURGICARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-15",
"last_updated": "2011-12-15",
"status": "A",
"authorized_official_last_name": "THOMAJAN",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
"authorized_official_telephone_number": "512-328-8900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "P1720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.