Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | M4848 | TX |
N | 2080P0203X | Pediatric Critical Care Doctor | M4848 | TX |
NPI | 1033183439 |
---|---|
Provider Name | Yi-Chen Lai |
First Address | Houston, TX 77046-0205 |
Second Address | Houston, TX 77030-2303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 21/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100944141 | (05) | PA |
I05922 | (02) | PA |