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NPI Code Detail

MEDICARE: DR. LAURA KURTAS ESKRIDGE PH.D.

MEDICARE: DR. LAURA KURTAS ESKRIDGE PH.D.
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
1103TC0700XClinical Psychologist31710TX
2103TS0200XSchool Psychologist33095TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447379557
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA KURTAS ESKRIDGE PH.D.
Provider Business Mailing Address
First Line : 21603 SATIN CLOVER CT
Second Line :
City : MAGNOLIA
State : TX
Zip : 77355-3900
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4950 MEMORIAL DR
Second Line : DEPELCHIN CHILDREN'S CENTER
City : HOUSTON
State : TX
Zip : 77007-7440
Country : US
Telephone Number : 713-802-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 09/08/2015

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