Individual
DR. CHRISTINE QUYEN LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12201 RENFERT WAY, STE 110, AUSTIN, TX 78758-5354
(512) 491-5125
(512) 491-8521
Mailing address
12201 RENFERT WAY, STE 110, AUSTIN, TX 78758-5354
(512) 491-5125
(512) 491-8521
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP1-0029094
TX
208000000X
Pediatrics Physician
Primary
N4536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4642157191
MYUTMB 4642157191
—
Enumeration date
08/05/2007
Last updated
12/30/2010
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