MEDICARE: LAURA M FOLLMER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	114828	TX

General Provider Information

NPI Number	:	1114404910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA M FOLLMER

Provider Business Mailing Address
First Line	:	5930 YARWELL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-4735
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5930 YARWELL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-4735
Country	:	US
Telephone Number	:	713-492-1437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2018
Last Update Date	:	07/24/2018

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Directions to “ LAURA M FOLLMER ” Practice Location

Language	Start Address	Practice Location

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