Provider Demographics
NPI:1669865655
Name:LAI, HILARY (LAC, PHD)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:LAI
Suffix:
Gender:F
Credentials:LAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 COLLEYVILLE BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-5828
Mailing Address - Country:US
Mailing Address - Phone:817-520-5333
Mailing Address - Fax:
Practice Address - Street 1:5200 COLLEYVILLE BLVD STE E
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-5828
Practice Address - Country:US
Practice Address - Phone:817-520-5333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-14
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01255171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist