MEDICARE: ANGELES LAI ZAYAS

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	207R00000X	Internal Medicine Physician	G7671	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093035776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELES LAI ZAYAS

Provider Business Mailing Address
First Line	:	3326 WATTERS RD
Second Line	:	BLG. B
City	:	PASADENA
State	:	TX
Zip	:	77504-2020
Country	:	US
Telephone Number	:	713-947-9508
Fax Number	:

Provider Business Practice Location Address
First Line	:	3326 WATTERS RD
Second Line	:	BLG. B
City	:	PASADENA
State	:	TX
Zip	:	77504-2020
Country	:	US
Telephone Number	:	713-947-9508
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. MARILYDIA DOBLADO
Credential	:
Telephone Number	:	713-947-9508

Provider Enumeration Date	:	06/04/2010
Last Update Date	:	06/04/2010

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Directions to “ANGELES LAI ZAYAS ” Practice Location

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