Organization
DEMING PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA M DEMING PNP (OWNER)
(361) 553-6844
Entity
Organization
Contact information
Practice address
1300 N VIRGINIA ST, SUITE 111, PORT LAVACA, TX 77979-2509
(361) 553-6844
(361) 553-7314
Mailing address
1300 N VIRGINIA ST, SUITE 111, PORT LAVACA, TX 77979-2509
(361) 553-6844
(361) 553-7314
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
587712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1969230-02
—
TX
05
—
1969230-03
—
TX
Enumeration date
06/17/2010
Last updated
06/17/2010
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