Healthcare Provider Details

I. General information

NPI: 1962183715
Provider Name (Legal Business Name): ASTRANA CARE OF TEXAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 04/30/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1668 S GARFIELD AVE FL 2
ALHAMBRA CA
91801-5400
US

IV. Provider business mailing address

1668 S GARFIELD AVE FL 2
ALHAMBRA CA
91801-5400
US

V. Phone/Fax

Practice location:
  • Phone: 626-282-0288
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS S. LAM
Title or Position: MANAGER
Credential: MD
Phone: 626-943-6228