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NPI Code Detail

MEDICARE: LAURA PALMER MACKAY MD, MPH

MEDICARE: LAURA PALMER MACKAY MD, MPH
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
1208000000XPediatrics PhysicianS9928TX
2207SG0201XClinical Genetics (M.D.) PhysicianU4765TX

General Provider Information

NPI Number : 1790216083
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA PALMER MACKAY MD, MPH
Provider Business Mailing Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7201
Country : US
Telephone Number : 214-456-2357
Fax Number :
Provider Business Practice Location Address
First Line : 1 BAYLOR PLZ
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3411
Country : US
Telephone Number : 832-824-1001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2017
Last Update Date : 12/19/2025

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