Individual
DR. JAVIER JORGE LASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6622 FANNIN ST, WEST TOWER, W6006, HOUSTON, TX 77030-2300
(215) 531-4211
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9087
(214) 456-2331
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MT186232
PA
208000000X
Pediatrics Physician
MD432001
PA
2080P0202X
Pediatric Cardiology Physician
MD432001
PA
2080P0202X
Pediatric Cardiology Physician
Q0097
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
Q0097
TX
Other
Enumeration date
06/29/2007
Last updated
01/26/2024
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