OrganizationActive
Lakeshore Ent
NPI 1003096991 · Facial Plastic Surgery Physician · Granbury, TX
Provider details
- NPI number
- 1003096991
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Krzeminski, Owner(817) 573-6673
- License
- K8272 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1305 Paluxy Rd
Suite a
Granbury, TX 76048-5641
Phone: (817) 573-6673
Fax: (817) 573-9783
Street-level locationGet directions
Mailing address
1305 Paluxy Rd
Granbury, TX 76048-5641
Registry dates
- Enumerated
- 2007-11-07
- Last updated
- 2025-08-15
- Certified
- 2025-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.