Pavelka, Laura Marie

Pavelka, Laura Marie is an individual health care provider with primary practice located at 630 N Coit Rd Suite 2200, Richardson TX 75080-3700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Pavelka, Laura Marie can be contacted via phone (214) 389-7355.

Contact Information

Primary practice address
630 N Coit Rd Suite 2200 Richardson TX 75080-3700
Phone: (214) 389-7355
Fax: (214) 389-7435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 693670 Texas

Profile Details

NPI number 1073614830
LBN Legal business name Pavelka, Laura Marie
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1073614830 NPPES
Texas Other 693670 NP LICENSE NUMBER

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