Individual
MRS. LAURA MARIE PAVELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
630 N COIT RD, SUITE 2200, RICHARDSON, TX 75080-3700
(214) 389-7355
(214) 389-7435
Mailing address
3249 HEATHERBROOK LN, RICHARDSON, TX 75082-2695
(214) 621-2625
(214) 389-7435
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
693670
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
693670
NP LICENSE NUMBER
TX
Enumeration date
09/26/2006
Last updated
07/08/2007
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