Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | L3369 | TX |
NPI | 1679580468 |
---|---|
Provider Name | Dr. Samuel M. Lam |
First Address | Plano, TX 75093-8446 |
Second Address | Plano, TX 75093-8447 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 06/12/2011 |