Park, Laura H.

Park, Laura H. is an sole proprietor health care provider with primary practice located at 6405 W Parker Rd , Plano TX 75093-8179. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Park, Laura H. can be contacted via phone (972) 473-9292.

Contact Information

Primary practice address
6405 W Parker Rd Plano TX 75093-8179
Phone: (972) 473-9292
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 653370 Texas

Profile Details

NPI number 1346248150
LBN Legal business name Park, Laura H.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated Oct 25th, 2012 - about 13 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 1346248150 NPPES
Texas MEDICAID 167837701
Texas MEDICAID 167837704
Texas Other 85706U
Texas Other 84235U

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