OrganizationActive
Lakeside Physicians Management LLC
NPI 1043402308 · Family Medicine Physician · Whitney, TX
Provider details
- NPI number
- 1043402308
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dianna Anderson, Administrative Assistant(254) 694-6871
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 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
1512 North Brazos
Whitney, TX 76692
Phone: (254) 694-6871
Fax: (254) 694-6876
Approximate (ZIP-level) locationGet directions
Mailing address
1512 North Brazos
Whitney, TX 76692
Other names (DBA / former)
- Other name
- Lakeside Healthcare
Registry dates
- Enumerated
- 2007-08-10
- Last updated
- 2010-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.