Provider Demographics
NPI:1801665302
Name:TRISTAN AND DAUN LAI M.D., P.A.
Entity type:Organization
Organization Name:TRISTAN AND DAUN LAI M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAUN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-382-3039
Mailing Address - Street 1:19750 STATE HIGHWAY 46 W STE 104
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-6881
Mailing Address - Country:US
Mailing Address - Phone:210-382-3039
Mailing Address - Fax:
Practice Address - Street 1:19750 STATE HIGHWAY 46 W STE 104
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6881
Practice Address - Country:US
Practice Address - Phone:210-382-3039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty