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NPI Code Detail

MEDICARE: DR. MAURICE LAPERRIERE MD

MEDICARE: DR. MAURICE LAPERRIERE MD
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
1207P00000XEmergency Medicine PhysicianG2755TX
2208D00000XGeneral Practice PhysicianG2755TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21700854569OTHERNPI
38EP990OTHERTXBCBSTX

General Provider Information

NPI Number : 1700854569
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAURICE LAPERRIERE MD
Provider Business Mailing Address
First Line : 6704 HOLLYTREE CIR
Second Line :
City : TYLER
State : TX
Zip : 75703-5777
Country : US
Telephone Number : 403-839-1000
Fax Number : 403-839-4000
Provider Business Practice Location Address
First Line : 403 STATE HIGHWAY 110 N
Second Line :
City : WHITEHOUSE
State : TX
Zip : 75791-3109
Country : US
Telephone Number : 903-839-1000
Fax Number : 903-839-4000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 09/10/2015

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Directions to “ DR. MAURICE LAPERRIERE MD” Practice Location

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