Organization
RUSSELL C. LAM, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL C LAM M.D. (PRESIDENT)
(214) 345-4160
Entity
Organization
Contact information
Practice address
8210 WALNUT HILL LN, SUITE 505, DALLAS, TX 75231-4405
(214) 345-4160
(214) 345-4165
Mailing address
8210 WALNUT HILL LN, SUITE 505, DALLAS, TX 75231-4405
(214) 345-4160
(214) 345-4165
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
M6717
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215523601
—
TX
Enumeration date
03/25/2009
Last updated
12/10/2016
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