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Individual
LAURA PETREY
Active
Individual
LAURA PETREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
L2824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148514601
—
TX
Enumeration date
07/02/2006
Last updated
09/28/2012
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