Grundy, Laura Elizabeth

Grundy, Laura Elizabeth is an individual health care provider with primary practice located at 1001 Buckingham Rd Ste 110 , Richardson TX 75081-5850. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grundy, Laura Elizabeth can be contacted via phone (972) 235-3804.

Contact Information

Primary practice address
1001 Buckingham Rd Ste 110 Richardson TX 75081-5850
Phone: (972) 235-3804
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP113996 Texas

Profile Details

NPI number 1346209673
LBN Legal business name Grundy, Laura Elizabeth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346209673 NPPES
Texas Other 8N9196 BCBS
Texas MEDICAID 176455702 BCBS
Texas Other P00479773 BCBS
Texas MEDICAID 176455701 BCBS

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