Laird, Tommy Wayne

Laird, Tommy Wayne is an individual health care provider with primary practice located at 5400 Crosslake Pkwy Suite 300, Waco TX 76712-6977. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Laird, Tommy Wayne can be contacted via phone (254) 420-2336.

Contact Information

Primary practice address
5400 Crosslake Pkwy Suite 300 Waco TX 76712-6977
Phone: (254) 420-2336
Fax: (254) 732-0795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA03396 Texas

Profile Details

NPI number 1679620058
LBN Legal business name Laird, Tommy Wayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Mar 7th, 2023 - about 2 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 1679620058 NPPES
Texas Other 00157011 TEXAS DPS REGISTRATION NUMBER
Texas Other PA03396 TEXAS DPS REGISTRATION NUMBER
Texas Other 1034587 TEXAS DPS REGISTRATION NUMBER

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