Provider Demographics
NPI:1336350321
Name:WOC-COLBURN, LAILA E (MD)
Entity Type:Individual
Prefix:DR
First Name:LAILA
Middle Name:E
Last Name:WOC-COLBURN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAILA
Other - Middle Name:EUGENIA
Other - Last Name:WOC-COLBURN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1512 SUMMER ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-4184
Mailing Address - Country:US
Mailing Address - Phone:713-798-4211
Mailing Address - Fax:713-798-8948
Practice Address - Street 1:1790 DRYDEN ROAD
Practice Address - Street 2:MS:BCM620, STE 06.12
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-798-4211
Practice Address - Fax:713-798-0171
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTE207RI0200X
TXN5486207RI0200X
GA85903207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTEOtherTEXAS MEDICAL BOARD
OH60399OtherAUDIT# STATE MEDICAL BOAR
P00876042OtherRAIL ROAD MEDICARE PIN
OH60399OtherAUDIT# STATE MEDICAL BOAR
TX8L22657Medicare PIN