Active NPI
Oscar Lazcano, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Bryan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- J3530
- Practice address
- 2801 Franciscan Dr
Bryan, TX 77802-2544 - Phone
- (979) 776-2400
- NPI assigned
- Jan 3, 2006
- Last updated
- Oct 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 36082592 | IL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 34352 | MN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 101869 | MO | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 88-44 | NM | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | J3530 | TX | Primary |
Addresses
Primary practice location
2801 Franciscan Dr
Bryan, TX 77802-2544
Mailing address
PO Box 2386
Round Rock, TX 78680-2386
Phone (979) 776-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103896002 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34352 | MN | MD | Clinical Social Worker |
| 36082592 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
| 101869 | MO | MD | Anatomic Pathology & Clinical Pathology Physician |
| 88-44 | NM | MD | Anatomic Pathology & Clinical Pathology Physician |
| J3530 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Pathology Associates | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| WCP Pathology, PC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Austin Pathology Associates | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Anatomic Pathology & Clinical Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1073591814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2386",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786802386",
"telephone_number": "979-776-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 FRANCISCAN DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022544",
"telephone_number": "979-776-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZCANO",
"first_name": "OSCAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "36082592",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MN",
"license": "34352",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "101869",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NM",
"license": "88-44",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "J3530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103896002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.