Provider Demographics
NPI:1194891366
Name:HAU, MY LAM (OD)
Entity type:Individual
Prefix:DR
First Name:MY
Middle Name:LAM
Last Name:HAU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:13355 N HIGHWAY 183
Mailing Address - Street 2:APT. 617
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-7156
Mailing Address - Country:US
Mailing Address - Phone:512-343-7000
Mailing Address - Fax:512-343-7007
Practice Address - Street 1:9700 N CAPITAL OF TEXAS HWY
Practice Address - Street 2:STE. A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5819
Practice Address - Country:US
Practice Address - Phone:512-343-7000
Practice Address - Fax:512-343-7007
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5659T152W00000X
LA1236-403T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
33-1125928OtherTAX IDENTIFICATION NUMBER