Provider Demographics
NPI:1831459171
Name:LORELEI CAPOCYAN, M.D., P.A.
Entity Type:Organization
Organization Name:LORELEI CAPOCYAN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORELEI
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPOCYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-201-8463
Mailing Address - Street 1:714 MOSS HAMMOCK WAY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479
Mailing Address - Country:US
Mailing Address - Phone:281-201-8463
Mailing Address - Fax:832-886-4374
Practice Address - Street 1:15200 SOUTHWEST FREEWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-201-8463
Practice Address - Fax:832-886-4374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2430207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty