Provider Demographics
NPI:1699976217
Name:LAI, TRISTAN T (MD)
Entity type:Individual
Prefix:DR
First Name:TRISTAN
Middle Name:T
Last Name:LAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:19750 STATE HIGHWAY 46 W STE 104
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-6881
Mailing Address - Country:US
Mailing Address - Phone:830-515-5131
Mailing Address - Fax:833-597-7547
Practice Address - Street 1:19750 STATE HIGHWAY 46 W STE 104
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6881
Practice Address - Country:US
Practice Address - Phone:830-515-5131
Practice Address - Fax:833-597-7547
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2022-11-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN5796207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine