Mcdonough, Laura L

Mcdonough, Laura L is an individual health care provider with primary practice located at 3900 Junius St Suite 500, Dallas TX 75246-1615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcdonough, Laura L can be contacted via phone (214) 823-7090.

Contact Information

Primary practice address
3900 Junius St Suite 500 Dallas TX 75246-1615
Phone: (214) 823-7090
Fax: (214) 823-1644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01102 Texas

Profile Details

NPI number 1922098268
LBN Legal business name Mcdonough, Laura L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jun 19th, 2023 - about 3 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 1922098268 NPPES
Texas MEDICAID 298658001
Texas Other 8N3085

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