| Laurel Lee Humphrey, M.d., Pllc | |
|
5200 Colleyville Blvd Ste B Colleyville TX 76034-5892 | |
| (817) 281-9040 | |
| (817) 281-4249 |
| Full Name | Laurel Lee Humphrey, M.d., Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5200 Colleyville Blvd Ste B, Colleyville, Texas |
| Authorized Official Name and Position | Jessica Lynn Stangenwald (CFO) |
| Authorized Official Contact | 8172819040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Lee Humphrey, M.d., Pllc 5200 Colleyville Blvd Ste B Colleyville TX 76034-5892 Ph: (817) 281-9040 | Laurel Lee Humphrey, M.d., Pllc 5200 Colleyville Blvd Ste B Colleyville TX 76034-5892 Ph: (817) 281-9040 |
| NPI Number | 1780084442 |
|---|---|
| Provider Enumeration Date | 09/01/2014 |
| Last Update Date | 09/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780084442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M1773 (Texas) | Primary |
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