MEDICARE: LAURIER JUNIOR PAUL NP

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
1	207Q00000X	Family Medicine Physician	HSE30584	FL
2	363LF0000X	Family Nurse Practitioner	1117632	TX

General Provider Information

NPI Number	:	1962025445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIER JUNIOR PAUL NP

Provider Business Mailing Address
First Line	:	14918 WATERSIDE VIEW CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-2087
Country	:	US
Telephone Number	:	561-667-7230
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 WOODLAND PARK DR
Second Line	:
City	:	SHEPHERD
State	:	TX
Zip	:	77371-6495
Country	:	US
Telephone Number	:	936-628-1100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2020
Last Update Date	:	03/14/2024

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Directions to “ LAURIER JUNIOR PAUL NP” Practice Location

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