# RUSSELL C. LAM, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588806327
- **Authorized official:** DR. RUSSELL C LAM M.D. (PRESIDENT)
- **Authorized official phone:** (214) 345-4160

## Contact information

- **Practice address:** 8210 WALNUT HILL LN, SUITE 505, DALLAS, TX 75231-4405
- **Practice address phone:** (214) 345-4160
- **Practice address fax:** (214) 345-4165
- **Mailing address:** 8210 WALNUT HILL LN, SUITE 505, DALLAS, TX 75231-4405
- **Mailing address phone:** (214) 345-4160
- **Mailing address fax:** (214) 345-4165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | M6717 | TX | Yes |

## Other

- **Enumeration date:** 03/25/2009
- **Last updated:** 12/10/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 215523601 | — | TX |