OrganizationActive
Lake Jackson Urology PA
NPI 1558462812 · Urology Physician · Lake Jackson, TX
Lake Jackson Urology PA is a Urology Physician organization in Lake Jackson, TX (NPI 1558462812).
Provider details
- NPI number
- 1558462812
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Philmore Blake, President(979) 297-9488
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
188 Abner Jackson Pkwy
Lake Jackson, TX 77566-5160
Phone: (979) 297-9488
Fax: (979) 297-9185
Street-level locationGet directions
Mailing address
188 Abner Jackson Pkwy
Lake Jackson, TX 77566-5160
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lake Jackson Urology PA's NPI number?
- Lake Jackson Urology PA's National Provider Identifier (NPI) is 1558462812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Jackson Urology PA?
- Lake Jackson Urology PA is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Jackson Urology PA located?
- Lake Jackson Urology PA's practice location on file with NPPES is 188 Abner Jackson Pkwy, Lake Jackson, TX 77566-5160.
- What is Lake Jackson Urology PA's phone number?
- The practice phone number listed in the NPPES registry for Lake Jackson Urology PA is (979) 297-9488.
- Who is the authorized official for Lake Jackson Urology PA?
- The authorized official listed on Lake Jackson Urology PA's NPPES record is Philmore Blake, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Jackson Urology PA's NPI active?
- Yes — Lake Jackson Urology PA's NPI (1558462812) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.