MEDICARE: DR. KING ONG LAI 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	207L00000X	Anesthesiology Physician	D8748	TX

General Provider Information

NPI Number	:	1396740304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KING ONG LAI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 421209
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77242-1209
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10918 EAST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-1912
Country	:	US
Telephone Number	:	713-432-1100
Fax Number	:	713-432-0221

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/09/2007

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