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Organization
LAUREL LEE HUMPHREY, M.D., PLLC
Active
Organization
LAUREL LEE HUMPHREY, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA LYNN STANGENWALD DC (CFO)
(817) 281-9040
Entity
Organization
Contact information
Practice address
5200 COLLEYVILLE BLVD STE B, COLLEYVILLE, TX 76034-5892
(817) 281-9040
(817) 281-4249
Mailing address
5200 COLLEYVILLE BLVD STE B, COLLEYVILLE, TX 76034-5892
(817) 281-9040
(817) 281-4249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M1773
TX
Other
Enumeration date
09/01/2014
Last updated
09/01/2014
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