MEDICARE: QUYNH LAM M.D. PLLC

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	207RN0300X	Nephrology Physician	P5543	TX

General Provider Information

NPI Number	:	1467812586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUYNH LAM M.D. PLLC

Provider Business Mailing Address
First Line	:	10080 BELLAIRE BLVD STE 108
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10080 BELLAIRE BLVD STE 108
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5429
Country	:	US
Telephone Number	:	832-230-5139
Fax Number	:	832-770-4902

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. QUYNH NHU LAM
Credential	:	M.D.
Telephone Number	:	832-230-5139

Provider Enumeration Date	:	03/02/2016
Last Update Date	:	07/14/2022

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