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NPI Code Detail

MEDICARE: DR. DONALD RAY LAZARUS JR. MD

MEDICARE: DR. DONALD RAY LAZARUS JR. 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
1207R00000XInternal Medicine PhysicianN2161TX
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianN2161TX
3207RP1001XPulmonary Disease PhysicianN2161TX

General Provider Information

NPI Number : 1073670535
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD RAY LAZARUS JR. MD
Provider Business Mailing Address
First Line : 6620 MAIN ST STE 11C.08
Second Line : BAYLOR COLLEGE OF MEDICINE
City : HOUSTON
State : TX
Zip : 77030-2348
Country : US
Telephone Number : 713-798-2400
Fax Number : 713-798-2791
Provider Business Practice Location Address
First Line : 6620 MAIN ST STE 1225
Second Line : BAYLOR CLINIC
City : HOUSTON
State : TX
Zip : 77030-2331
Country : US
Telephone Number : 713-798-2400
Fax Number : 713-798-2791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 06/18/2014

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