Healthcare Provider Details

I. General information

NPI: 1952379901
Provider Name (Legal Business Name): LAURA FRANCES HUSTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 05/14/2022
Certification Date: 05/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 12TH ST STE 101
PFLUGERVILLE TX
78660-3814
US

IV. Provider business mailing address

103 12TH ST STE 101
PFLUGERVILLE TX
78660-3814
US

V. Phone/Fax

Practice location:
  • Phone: 512-989-3334
  • Fax:
Mailing address:
  • Phone: 512-989-3334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM1539
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: