Provider Demographics
NPI:1700073509
Name:OBRIEN, ALICE LAM (MD)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:LAM
Last Name:OBRIEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 BAYLOR PLZ
Mailing Address - Street 2:DEPT OF ANESTHESIOLOGY MS120
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3411
Mailing Address - Country:US
Mailing Address - Phone:713-798-2718
Mailing Address - Fax:
Practice Address - Street 1:1504 TAUB LOOP
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1608
Practice Address - Country:US
Practice Address - Phone:713-873-2900
Practice Address - Fax:713-795-0117
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2016-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM5423207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K4261Medicare PIN