Laursen, Gerald P

Laursen, Gerald P is an individual health care provider with primary practice located at 4775 Hamilton Wolfe Rd Ste 1 Ste. 220, San Antonio TX 78229-3456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Laursen, Gerald P can be contacted via phone (210) 616-0283.

Contact Information

Primary practice address
4775 Hamilton Wolfe Rd Ste 1 Ste. 220 San Antonio TX 78229-3456
Phone: (210) 616-0283
Fax: (210) 616-0071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X F0242 Texas

Profile Details

NPI number 1891799383
LBN Legal business name Laursen, Gerald P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Apr 17th, 2013 - about 11 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 1891799383 NPPES
Texas MEDICAID 128629606

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