Individual
NICOLE LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 W RALPH HALL PKWY, STE 135, ROCKWALL, TX 75032-6658
(972) 772-3100
(972) 692-1128
Mailing address
1005 W RALPH HALL PKWY, STE 135, ROCKWALL, TX 75032-6658
(972) 772-3100
(972) 692-1128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P3750
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2010
Last updated
07/10/2013
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