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NPI Code Detail

MEDICARE: WHITNEY B LAUBSCHER PA

MEDICARE: WHITNEY B LAUBSCHER PA
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
1363A00000XPhysician Assistant
2363AS0400XSurgical Physician Assistant
3363A00000XPhysician AssistantPA15844TX

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 : 1669607396
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY B LAUBSCHER PA
Provider Business Mailing Address
First Line : 5751 EDWARDS RANCH RD STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4152
Country : US
Telephone Number : 817-332-8848
Fax Number : 817-335-2670
Provider Business Practice Location Address
First Line : 5751 EDWARDS RANCH RD STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4152
Country : US
Telephone Number : 817-332-8848
Fax Number : 817-335-2670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2009
Last Update Date : 07/08/2022

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Directions to “ WHITNEY B LAUBSCHER PA” Practice Location

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