Lake Jackson Plastic Surgery, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

H2191 Issued in TX

Legal business name

LAKE JACKSON PLASTIC SURGERY, PA

Practice address

215 Oak Dr S
Suite J
Lake Jackson, TX 77566-5629

Phone

(979) 480-0105

Fax

(979) 480-0106

NPI assigned

Oct 5, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Scott Yarish, M.D.

Title

President

Phone

(713) 467-0146

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1912259698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 KATY FWY",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241007",
            "telephone_number": "713-467-0146",
            "fax_number": "713-467-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OAK DR S",
            "address_2": "SUITE J",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665629",
            "telephone_number": "979-480-0105",
            "fax_number": "979-480-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE JACKSON PLASTIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "YARISH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-467-0146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "H2191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Jackson Family Dentistry PLLC
• Lake Jackson Imaging Center
• Lake Jackson Operations, LLC
• Lake Jackson Oral and Maxillofacial Surgery, PLLC
• Lake Jackson Pediatric Speech PLLC
• Lake Jackson Rehabilitation and Wellness Center
• Lake Jackson Urology PA
• Shirmeen Lakhani, D.P.M.
• Lamininvault, Corp.
• Linda G Lane

• Medical Specialty Clinic/Center in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.