Individual
LAI JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1815 S 31ST ST, TEMPLE, TX 76504-6728
(254) 724-2111
(254) 724-7603
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
591996
TX
207R00000X
Internal Medicine Physician
MD-45959
IA
207W00000X
Ophthalmology Physician
MD-45959
IA
207W00000X
Ophthalmology Physician
Primary
S7248
TX
Other
Enumeration date
05/14/2015
Last updated
09/17/2020
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