Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | N2161 | TX |
N | 111NI0900X | Internist | N2161 | TX |
N | 207RC0200X | Critical Care Medicine | N2161 | TX |
Y | 207RP1001X | Pulmonary Disease | N2161 | TX |
NPI | 1073670535 |
---|---|
Provider Name | Dr. Donald Ray Lazarus JR. |
First Address | Houston, TX 77030-2348 |
Second Address | Houston, TX 77030-2331 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 18/06/2014 |