| Organization Name: | NEW LAKE SURGICAL, PLLC |
| NPI Number: | 1023365830 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD NEWLAND (MANAGING MEMBER) |
| Mailing Address: | 6701 Lake Woodlands Dr The Woodlands |
| State: | TX US |
| Postal Code: | 773822565 |
| Phone Number: | 2813637100 |
| Fax Number: | |
| NPI Enumeration Date: | 08/10/2012 |
| NPI Last Update Date: | 08/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |