MEDICARE: BRANDON CHAU LAM MD

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	207W00000X	Ophthalmology Physician	V7248	TX

General Provider Information

NPI Number	:	1023696515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON CHAU LAM MD

Provider Business Mailing Address
First Line	:	6300 STONEWOOD DR STE 304
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-5312
Country	:	US
Telephone Number	:	469-467-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 STONEWOOD DR STE 304
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-5312
Country	:	US
Telephone Number	:	469-467-8100
Fax Number	:

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

Provider Enumeration Date	:	03/29/2021
Last Update Date	:	07/14/2025

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