Basic Information
| Provider Information | |||||||||
| NPI: | 1073670535 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAZARUS | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | RAY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6620 MAIN ST STE 11C.08 | ||||||||
| Address2: | BAYLOR COLLEGE OF MEDICINE | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302348 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137982400 | ||||||||
| FaxNumber: | 7137982791 | ||||||||
| Practice Location | |||||||||
| Address1: | 6620 MAIN ST STE 1225 | ||||||||
| Address2: | BAYLOR CLINIC | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137982400 | ||||||||
| FaxNumber: | 7137982791 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/03/2007 | ||||||||
| LastUpdateDate: | 06/18/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | N2161 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | N2161 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | N2161 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.