Provider Demographics
NPI:1578507182
Name:LAI, JENNY MEI-JU (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNY
Middle Name:MEI-JU
Last Name:LAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4405 WENDELL ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5215
Mailing Address - Country:US
Mailing Address - Phone:713-441-5189
Mailing Address - Fax:713-790-6604
Practice Address - Street 1:6560 FANNIN ST STE 1878
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2752
Practice Address - Country:US
Practice Address - Phone:713-441-5189
Practice Address - Fax:713-790-6604
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4281208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00425692OtherRAILROAD MEDICARE
TX8V8602OtherBLUE CROSS BLUE SHIELD
TX133640609Medicaid
TXF87432Medicare UPIN
TX133640609Medicaid