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NPI Code Detail

MEDICARE: MS. LAURA ELIZABETH HARDIN PA-C

MEDICARE: MS. LAURA ELIZABETH HARDIN PA-C
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
1363AM0700XMedical Physician AssistantPA05694TX

General Provider Information

NPI Number : 1619146602
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA ELIZABETH HARDIN PA-C
Provider Business Mailing Address
First Line : 23002 RED RIVER DR
Second Line :
City : KATY
State : TX
Zip : 77450-3159
Country : US
Telephone Number : 281-744-7599
Fax Number :
Provider Business Practice Location Address
First Line : 3100 WESLAYAN ST STE 300
Second Line :
City : HOUSTON
State : TX
Zip : 77027-5752
Country : US
Telephone Number : 713-299-1634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2008
Last Update Date : 12/05/2024

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