Provider Demographics
NPI:1073670535
Name:LAZARUS, DONALD RAY JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:RAY
Last Name:LAZARUS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:6620 MAIN ST STE 11C.08
Mailing Address - Street 2:BAYLOR COLLEGE OF MEDICINE
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2348
Mailing Address - Country:US
Mailing Address - Phone:713-798-2400
Mailing Address - Fax:713-798-2791
Practice Address - Street 1:6620 MAIN ST STE 1225
Practice Address - Street 2:BAYLOR CLINIC
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2331
Practice Address - Country:US
Practice Address - Phone:713-798-2400
Practice Address - Fax:713-798-2791
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2014-06-18
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Provider Licenses
StateLicense IDTaxonomies
TXN2161207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine