MEDICARE: DR. QUYNH NHU LAM M.D.

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	207RN0300X	Nephrology Physician	P5543	TX

General Provider Information

NPI Number	:	1235373804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. QUYNH NHU LAM M.D.

Provider Business Mailing Address
First Line	:	10080 BELLAIRE BLVD
Second Line	:	STE 108
City	:	HOUSTON
State	:	TX
Zip	:	77072-5249
Country	:	US
Telephone Number	:	832-230-5139
Fax Number	:	832-770-4902

Provider Business Practice Location Address
First Line	:	10080 BELLAIRE BLVD
Second Line	:	STE 108
City	:	HOUSTON
State	:	TX
Zip	:	77072-5249
Country	:	US
Telephone Number	:	832-230-5139
Fax Number	:	832-770-4902

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

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	07/14/2022

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