MEDICARE: GEORGE LAZAR PHD

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	103TA0400X	Addiction (Substance Use Disorder) Psychologist	15269	TX
2	103TA0700X	Adult Development & Aging Psychologist	15269	TX
3	103TB0200X	Cognitive & Behavioral Psychologist	15269	TX
4	103TC0700X	Clinical Psychologist	15269	TX
5	103TC1900X	Counseling Psychologist	15269	TX
6	103TC2200X	Clinical Child & Adolescent Psychologist	15269	TX
7	103TH0100X	Health Service Psychologist	15269	TX
8	103TR0400X	Rehabilitation Psychologist	15269	TX

General Provider Information

NPI Number	:	1700860251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE LAZAR PHD

Provider Business Mailing Address
First Line	:	7324 SOUTHWEST FWY STE 805
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2003
Country	:	US
Telephone Number	:	713-432-9900
Fax Number	:	713-271-3111

Provider Business Practice Location Address
First Line	:	7324 SOUTHWEST FWY STE 805
Second Line	:	805
City	:	HOUSTON
State	:	TX
Zip	:	77074-2003
Country	:	US
Telephone Number	:	713-432-9900
Fax Number	:	713-271-3111

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	09/11/2025

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Directions to “ GEORGE LAZAR PHD” Practice Location

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