Basic Information
Provider Information
NPI: 1184730871
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LALL
FirstName: ARUN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5227 IVYSTONE CT
Address2:  
City: SUGAR LAND
State: TX
PostalCode: 774794105
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 4120 SOUTHWEST FWY
Address2: SUITE 100
City: HOUSTON
State: TX
PostalCode: 770277339
CountryCode: US
TelephoneNumber: 7136268500
FaxNumber: 7136268560
Other Information
ProviderEnumerationDate: 08/22/2006
LastUpdateDate: 06/02/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP2900XK6637TXN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
207L00000XK6637TXY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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