Individual
STEPHEN LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-2140
(817) 332-2506
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
G9140
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
BCBSTX GRP PIN
TX
01
—
0917266
CIGNA PIN
TX
01
—
10028569
AMERIGROUP PIN
TX
01
—
112498
SUPERIOR PIN
TX
01
—
117277100
FIRSTCARE PIN
TX
05
—
137345810
—
TX
05
—
137567705
—
TX
05
—
137567707
—
TX
01
—
1387826
UHC PIN
TX
05
—
140442852
—
TX
01
—
1640397
FIRSTHEALTH PIN
TX
01
—
1750369203
GRP NPI NUMBER
—
01
—
4227558
AETNA PIN
TX
01
—
87Z124
BCBSTX IND PIN
TX
Enumeration date
10/02/2006
Last updated
07/29/2016
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