Individual
MS. LAURA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
5525 TRAVIS CT, TEMPLE, TX 76502-6657
(409) 594-5450
Mailing address
5525 TRAVIS CT, TEMPLE, TX 76502-6657
(409) 594-5450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01415
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PA01415
TX
Other
Enumeration date
05/16/2006
Last updated
04/30/2025
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