Individual
LAWRENCE W SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E8915
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053JP
BLUE CROSS BLUE SHIELD
TX
01
—
P00010410
MCR RAILROAD
TX
Enumeration date
07/14/2006
Last updated
07/08/2007
Update your record
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