Provider Demographics
NPI:1851385835
Name:GINSBERG, LAWRENCE DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:DAVID
Last Name:GINSBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17115 RED OAK DR
Mailing Address - Street 2:STE 109
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2640
Mailing Address - Country:US
Mailing Address - Phone:281-893-4111
Mailing Address - Fax:281-893-8082
Practice Address - Street 1:17115 RED OAK DR
Practice Address - Street 2:STE 109
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2607
Practice Address - Country:US
Practice Address - Phone:281-893-4111
Practice Address - Fax:281-893-8082
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG74062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115059102Medicaid
TX84K206Medicare ID - Type Unspecified
C16134Medicare UPIN