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LAKESIDE MEDICAL CLINC
NPI 1043317514
Internal Medicine - Cardiovascular Disease in Conroe, TX

Active since September 19, 2006
3500 WEST DAVIS STREET, SUITE 220, CONROE, TX 77304(936) 760-1691 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lakeside Medical Clinc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE MEDICAL CLINC (NPI 1043317514) is a healthcare organization registered as a cardiovascular disease in Conroe, Texas and active in the NPI registry since September 2006. The organization lists John Edward Perry, President, as its authorized official.

NPPES Registry Identity

NPI1043317514
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameJEP CARDIOLOGY ASSOCIATES
Location Address3500 WEST DAVIS STREET, SUITE 220Conroe, TX 77304
Mailing Address119 North Summer Cloud DriveThe Woodlands, TX 77381-6225 · (281) 989-9910
Phone(936) 760-1691
Organization SubpartNo
Authorized OfficialJohn Edward PerryPresident · (936) 760-1691
Enumeration DateSeptember 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043317514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · L 1430
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

3500 WEST DAVIS STREET, Conroe, TX 77304
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Other Names 1

Doing Business AsLakeside Medical Clinc

Other Identifiers 1

OtherL 1430TX · License Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jep Cardiology Associates's NPI number?

The NPI number for Jep Cardiology Associates is 1043317514. It was assigned to this organization in the NPPES registry on September 19, 2006. The provider is doing business as Lakeside Medical Clinc.

Where is Jep Cardiology Associates located?

Jep Cardiology Associates is located at 3500 West Davis Street Suite 220, Conroe, TX 77304. The listed phone number is (936) 760-1691.

What is Jep Cardiology Associates's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Jep Cardiology Associates was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.