John Andrew Laurence in Fort Worth - Surgical

John Andrew Laurence - NPI 1568445070

John Andrew Laurence is a Surgical in Fort Worth, Texas. John Andrew Laurence practices all healthcare services and medical treatments related to Surgical. The NPI Number for John Andrew Laurence is 1568445070. The last update date is 2014-08-13.

John Andrew Laurence's current location address is 1325 Pennsylvania Ave Ste 890, Fort Worth, Texas. You can contact this provider via phone number 8178204280 and fax number 8178204281. The mailing address for John Andrew Laurence is 1325 Pennsylvania Ave Ste 890, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name John Andrew Laurence
Address 1325 Pennsylvania Ave Ste 890, Fort Worth, Texas
Phone Number 8178204280
Fax Number 8178204281
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1568445070
Provider Enumeration Date 2005-11-29
Last Updated Date 2014-08-13

Provider Mailing Address Detail

Address 1325 Pennsylvania Ave Ste 890
City Fort Worth
State Texas (TX)
Post Code 761042145
Phone Number 8178204280
Fax Number 8178204281

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA04581
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
180370201 TX --

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FAQs about John Andrew Laurence

What is the unique identifier code issued to John Andrew Laurence by the Centers for Medicare & Medicaid Services (CMS)?

The John Andrew Laurence has been assigned the NPI (National Provider Identifier) 1568445070. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the John Andrew Laurence located?

The John Andrew Laurence is located at 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 761042145.

What is the John Andrew Laurence's specialty and taxonomy code?

The John Andrew Laurence's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.

When was the John Andrew Laurence's 1568445070 issued?

The John Andrew Laurence's 1568445070 was issued on 2005-11-29.

On what date did the Centers for Medicare & Medicaid Services issue the 1568445070 to John Andrew Laurence?

The John Andrew Laurence received its 1568445070 assignment from the Centers for Medicare & Medicaid Services on 2005-11-29.

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