Provider Demographics
NPI:1841280617
Name:LAMBERT, JEFFERY C (MD)
Entity type:Individual
Prefix:
First Name:JEFFERY
Middle Name:C
Last Name:LAMBERT
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 1:21009 KUYKENDAHL RD STE A
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3310
Mailing Address - Country:US
Mailing Address - Phone:346-220-8585
Mailing Address - Fax:346-220-8589
Practice Address - Street 1:21009 KUYKENDAHL RD STE A
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3310
Practice Address - Country:US
Practice Address - Phone:346-220-8585
Practice Address - Fax:346-220-8589
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0542207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80431YOtherBCBS
87425ZOtherHMO BLUE
080113154OtherRR MEDICARE
TX80431YOtherBCBS