Laurence, John Andrew

Laurence, John Andrew is an individual health care provider with primary practice located at 1325 Pennsylvania Ave Ste 890 , Fort Worth TX 76104-2145. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Laurence, John Andrew can be contacted via phone (817) 820-4280.

Contact Information

Primary practice address
1325 Pennsylvania Ave Ste 890 Fort Worth TX 76104-2145
Phone: (817) 820-4280
Fax: (817) 820-4281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04581 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA04581 Texas

Profile Details

NPI number 1568445070
LBN Legal business name Laurence, John Andrew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Aug 13th, 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 1568445070 NPPES
Texas MEDICAID 180370201

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