MEDICARE: LSINGH MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	207Q0000X	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1144354838	OTHER	TX	ORGANIZATION NPI
2	1801879333	OTHER	TX	INDIVIDUAL NPI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144354838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LSINGH MD PA

Provider Business Mailing Address
First Line	:	1020 FORT WORTH HWY
Second Line	:	STE 500
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-4514
Country	:	US
Telephone Number	:	817-594-8585
Fax Number	:	817-594-7787

Provider Business Practice Location Address
First Line	:	1020 FORT WORTH HWY
Second Line	:	STE 500
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-4514
Country	:	US
Telephone Number	:	817-594-8585
Fax Number	:	817-594-7787

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LAKHERAM SINGH
Credential	:	MD
Telephone Number	:	817-594-8585

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	10/16/2008

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