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Organization
LAWRENCE QUAN M.D.P.A
Active
Organization
LAWRENCE QUAN M.D.P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE QUAN M.D. (OWNER)
(936) 594-3639
Entity
Organization
Contact information
Practice address
315 PROSPECT DR, P.O. 672, TRINITY, TX 75862-6202
(936) 594-3595
(936) 594-0491
Mailing address
PO BOX 672, TRINITY, TX 75862-0672
(936) 594-3595
(936) 594-0491
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F4399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F4399
LICENCE #
TX
Enumeration date
12/27/2010
Last updated
06/02/2011
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