Physician Compare National (NPI:1972895365)

HEALTHCARE PROVIDER: LAURA N MEDFORD-DAVIS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1972895365
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678799046
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141120000480
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MEDFORD-DAVIS
	Individual professional last name
Provider First Name	LAURA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HARVARD MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	THE URGENT CARE ASSOCIATES OF TEXAS PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1355665795
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	12
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	32784 FM 2978 RD B
	Group Practice or individual's line 1 address
City	MAGNOLIA
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	773546039
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2817893400
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450289
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HARRIS HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M