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

Lakeshore ENT

Organization Facial Plastic Surgery Physician · NPI 1003096991

Lakeshore ENT is a Facial Plastic Surgery Physician in Granbury, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007

Practice location Address checks out

1305 Paluxy Rd Ste A
Granbury, TX 76048-5641
Phone: (817) 573-6673
Fax: (817) 573-9783
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence K8272 (TX)

Record details

NPI number1003096991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Krzeminski — Owner · (817) 573-6673
NPI enumeratedNovember 7, 2007
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address1305 Paluxy Rd, Suite A, Granbury, TX 76048-5641

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