Humphrey, Laurel L.

Humphrey, Laurel L. is an individual health care provider with primary practice located at Two St. Mark'S Place Suite 130, La Grange TX 78945-1259. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Humphrey, Laurel L. can be contacted via phone (979) 242-5605.

Contact Information

Primary practice address
Two St. Mark'S Place Suite 130 La Grange TX 78945-1259
Phone: (979) 242-5605
Fax: (979) 242-5619
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M1773 Texas
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1336185321
LBN Legal business name Humphrey, Laurel L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jan 4th, 2024 - about last year

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 1336185321 NPPES
Texas MEDICAID 184272601

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