Provider Demographics
NPI:1679756936
Name:CAPOCYAN, LORELEI CABRERA (MD)
Entity Type:Individual
Prefix:
First Name:LORELEI
Middle Name:CABRERA
Last Name:CAPOCYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15200 SOUTHWEST FWY
Mailing Address - Street 2:STE 200
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3863
Mailing Address - Country:US
Mailing Address - Phone:432-335-5200
Mailing Address - Fax:432-335-5240
Practice Address - Street 1:15200 SOUTHWEST FWY
Practice Address - Street 2:STE 200
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3863
Practice Address - Country:US
Practice Address - Phone:281-201-8463
Practice Address - Fax:832-886-4374
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10022503207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology