Individual
ETHAN LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 CAMPUS DR, BRYAN, TX 77802-3300
(979) 209-2400
Mailing address
19515 SALADO CREEK CT, CYPRESS, TX 77433-3968
(832) 420-5735
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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