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
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

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

The NPI number assigned to this healthcare provider is 1043317514, enumerated as an "organization" on September 19, 2006.

The provider is located at 3500 WEST DAVIS STREET SUITE 220 CONROE, TX 77304 and the phone number is (936) 760-1691.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.