Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Jackson Plastic Surgery, PA

Organization Medical Specialty Clinic/Center · NPI 1912259698

Lake Jackson Plastic Surgery, PA is a Medical Specialty Clinic/Center in Lake Jackson, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

215 Oak Dr S Ste J
Lake Jackson, TX 77566-5629
Phone: (979) 480-0105
Fax: (979) 480-0106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence H2191 (TX)

Record details

NPI number1912259698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Yarish — President · (713) 467-0146
NPI enumeratedOctober 5, 2012
Last updated in NPPESOctober 5, 2012
Mailing address10565 Katy Fwy, Suite 100, Houston, TX 77024-1007

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