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Individual

DR. MICHELLE MARIE LAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
5400 CROSSLAKE PKWY, WACO, TX 76712-6977
(254) 420-2336
Mailing address
254 BROOKHAVEN DR, WACO, TX 76712-2701
(254) 855-3345

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
N1730
TX
207P00000X
Emergency Medicine Physician
Primary
OT011596
PA

Other

Enumeration date
05/13/2008
Last updated
07/22/2013
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