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Organization

LAREDO LASER & SURGERY , LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL AVERY HOCHMAN M.D. (MEDICAL DIRECTOR/OWNER)
(956) 795-8310
Entity
Organization

Contact information

Practice address
5313 MCPHERSON RD, LAREDO, TX 78041-6832
(956) 568-5441
(956) 568-5443
Mailing address
PO BOX 2882, LAREDO, TX 78044-2882
(956) 568-5441
(956) 568-5443

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008685
STATE LIC
TX
05
201640401
TX
01
ASC380
MEDICARE
TX
Enumeration date
07/18/2008
Last updated
11/22/2016
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