Healthcare Provider Details

I. General information

NPI: 1053677716
Provider Name (Legal Business Name): LAURA HANSON DOWNING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 02/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 MEDICAL ARTS ST STE 3
AUSTIN TX
78705-3302
US

IV. Provider business mailing address

2911 MEDICAL ARTS ST STE 3
AUSTIN TX
78705-3302
US

V. Phone/Fax

Practice location:
  • Phone: 512-391-0175
  • Fax:
Mailing address:
  • Phone: 512-391-0175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberP3727
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: