Individual
TONY LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CST
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2088
(884) 279-3627
Mailing address
712 CRAIG ST, IRVING, TX 75060-3989
(972) 768-3282
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
343910
TX
Other
Enumeration date
03/21/2021
Last updated
03/21/2021
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