Harris, Laurie Wooten

Harris, Laurie Wooten is an individual health care provider with primary practice located at 1300 S Gregg St , Big Spring TX 79720-4325. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Harris, Laurie Wooten can be contacted via phone (432) 517-4557.

Contact Information

Primary practice address
1300 S Gregg St Big Spring TX 79720-4325
Phone: (432) 517-4557
Fax: (432) 517-4556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 527319 Texas

Profile Details

NPI number 1285937045
LBN Legal business name Harris, Laurie Wooten
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2010
Last updated Mar 5th, 2014 - about 12 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 1285937045 NPPES
Texas MEDICAID 281971602

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