Provider Demographics
NPI:1144354838
Name:LSINGH MD PA
Entity type:Organization
Organization Name:LSINGH MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAKHERAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-594-8585
Mailing Address - Street 1:1020 FORT WORTH HWY
Mailing Address - Street 2:STE 500
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-4514
Mailing Address - Country:US
Mailing Address - Phone:817-594-8585
Mailing Address - Fax:817-594-7787
Practice Address - Street 1:1020 FORT WORTH HWY
Practice Address - Street 2:STE 500
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-4514
Practice Address - Country:US
Practice Address - Phone:817-594-8585
Practice Address - Fax:817-594-7787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207Q0000X207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1144354838OtherORGANIZATION NPI
TX1801879333OtherINDIVIDUAL NPI
TX181308101Medicaid
TX181308101Medicaid
TX1144354838OtherORGANIZATION NPI