Provider Demographics
NPI:1326012725
Name:LAI, STEPHEN YENZEN (MD,PHD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:YENZEN
Last Name:LAI
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 HOLCOMBE BLVD
Mailing Address - Street 2:UNIT 1445
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4009
Mailing Address - Country:US
Mailing Address - Phone:713-792-6528
Mailing Address - Fax:713-794-4662
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:UNIT 1445
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4009
Practice Address - Country:US
Practice Address - Phone:713-792-6528
Practice Address - Fax:713-794-4662
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1722174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001957689OtherPA MEDICAID
PA070259EN4OtherPA MEDICARE
TX199279401Medicaid
PA070259EN4OtherPA MEDICARE
PAH85733Medicare UPIN