Individual
MAN TAI LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 N COTTON ST, EL PASO, TX 79902-3015
(915) 598-1600
(915) 351-6040
Mailing address
PO BOX 371581, EL PASO, TX 79937-1581
(915) 598-1600
(915) 351-6040
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
F4916
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130349701
—
TX
Enumeration date
07/21/2005
Last updated
01/17/2011
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