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Organization
LAREDO LASER & SURGERY , LTD.
Active
Organization
LAREDO LASER & SURGERY , LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL AVERY HOCHMAN M.D. (MEDICAL DIRECTOR/OWNER)
(956) 795-8310
Entity
Organization
Contact information
Practice address
5313 MCPHERSON RD, LAREDO, TX 78041-6832
(956) 568-5441
(956) 568-5443
Mailing address
PO BOX 2882, LAREDO, TX 78044-2882
(956) 568-5441
(956) 568-5443
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008685
STATE LIC
TX
05
—
201640401
—
TX
01
—
ASC380
MEDICARE
TX
Enumeration date
07/18/2008
Last updated
11/22/2016
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