MEDICARE: LAXMAN SUNDER 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	207R00000X	Internal Medicine Physician	L4139	TX

General Provider Information

NPI Number	:	1558355727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAXMAN SUNDER M.D.

Provider Business Mailing Address
First Line	:	1813 BRANARD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-2603
Country	:	US
Telephone Number	:	713-562-5805
Fax Number	:	713-588-8600

Provider Business Practice Location Address
First Line	:	8313 SOUTHWEST FWY
Second Line	:	SUITE 105
City	:	HOUSTON
State	:	TX
Zip	:	77074-1611
Country	:	US
Telephone Number	:	713-773-1102
Fax Number	:	713-588-8600

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

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	07/09/2012

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Directions to “ LAXMAN SUNDER M.D.” Practice Location

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