Individual
LAWRENCE J. CISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6410 FANNIN ST STE 950, HOUSTON, TX 77030-5204
(832) 325-7323
(713) 512-2221
Mailing address
6431 FANNIN ST., MSB 5.220, HOUSTON, TX 77030
(713) 500-7425
(713) 500-7296
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
L0774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144363208
—
TX
05
—
144363209
—
TX
Enumeration date
10/25/2006
Last updated
07/21/2022
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