Individual
DR. LAURA TASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(972) 596-6800
Mailing address
1820 PRESTON PARK BLVD, STE 1825, PLANO, TX 75093-3656
(972) 867-7862
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L9925
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173734801
—
TX
Enumeration date
03/22/2006
Last updated
05/03/2016
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