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Individual

DR. LAWRENCE EDWARD FOOTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7515 MAIN ST, SUITE 740, HOUSTON, TX 77030-4519
(713) 795-0202
(713) 799-8290
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G6717
TX
207RX0202X
Medical Oncology Physician
G6717
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128301201
TX
05
128301203
TX
05
128301206
TX
05
128301207
TX
05
128301208
TX
01
8R1438
BLUE CROSS OF TEXAS
TX
Enumeration date
06/12/2006
Last updated
05/02/2008
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