Provider Demographics
NPI:1053498287
Name:LACSON, JOHN P (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:LACSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4126 SOUTHWEST FWY STE 600C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7317
Mailing Address - Country:US
Mailing Address - Phone:713-626-9971
Mailing Address - Fax:713-626-9981
Practice Address - Street 1:4126 SOUTHWEST FWY STE 600C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7317
Practice Address - Country:US
Practice Address - Phone:713-626-9971
Practice Address - Fax:713-626-9981
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2008-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ7806207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG37787Medicare UPIN