=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891091583
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JAMES C LAI MD AND ASSOCIATES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/28/2011
-----------------------------------------------------
Last Update Date | 01/28/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1140 BUSINESS CENTER DR STE 580
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77043-2737
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-723-5681
-----------------------------------------------------
Fax | 832-415-9362
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 809 BROGDEN RD
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77024-3012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-723-5681
-----------------------------------------------------
Fax | 832-415-9362
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | DAWN LIZA MCCLURE
-----------------------------------------------------
Credential | CPC
-----------------------------------------------------
Telephone | 832-545-7756
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207LP2900X
-----------------------------------------------------
Taxonomy Name | Pain Medicine (Anesthesiology) Physician
-----------------------------------------------------
License Number | J0055
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------