Healthcare Provider Details

I. General information

NPI: 1790216083
Provider Name (Legal Business Name): LAURA PALMER MACKAY MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA ELISABETH PALMER MD, MPH

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BAYLOR PLZ
HOUSTON TX
77030-3411
US

IV. Provider business mailing address

5323 HARRY HINES BLVD
DALLAS TX
75390-7201
US

V. Phone/Fax

Practice location:
  • Phone: 832-824-1001
  • Fax:
Mailing address:
  • Phone: 214-456-2357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberS9928
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberU4765
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: