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 |
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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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