Provider Demographics
NPI:1194090431
Name:LAM, WAI YIM (MD)
Entity type:Individual
Prefix:
First Name:WAI YIM
Middle Name:
Last Name:LAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17189 INTERSTATE 45 S STE 505
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77385-3323
Mailing Address - Country:US
Mailing Address - Phone:936-270-4400
Mailing Address - Fax:936-270-4401
Practice Address - Street 1:17189 INTERSTATE 45 S STE 505
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77385-3323
Practice Address - Country:US
Practice Address - Phone:936-270-4400
Practice Address - Fax:936-270-4401
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR7257207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine