Provider Demographics
NPI:1841739547
Name:TEXAS LSA LLC
Entity Type:Organization
Organization Name:TEXAS LSA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOREDO
Authorized Official - Suffix:
Authorized Official - Credentials:LSA
Authorized Official - Phone:713-259-2998
Mailing Address - Street 1:12411 W HARDY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77037-3523
Mailing Address - Country:US
Mailing Address - Phone:713-259-2998
Mailing Address - Fax:346-444-5400
Practice Address - Street 1:12411 W HARDY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77037-3523
Practice Address - Country:US
Practice Address - Phone:713-259-2998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty