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Organization
MYLAUREL MEDICAL GROUP TX, PLLC
Active
Organization
MYLAUREL MEDICAL GROUP TX, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BALDRIDGE (CREDENTIALING)
(702) 417-6255
Entity
Organization
Contact information
Practice address
2500 WEST LOOP S STE 230, HOUSTON, TX 77027-4512
(866) 603-7803
Mailing address
885 3RD AVE FL 29, NEW YORK, NY 10022-4834
(347) 497-2452
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
11/04/2025
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