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Individual

DR. LAURENCE T GAYAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4401 BOOTH CALLOWAY RD, NORTH RICHLAND HILLS, TX 76180-7371
(972) 758-3598
Mailing address
P.O. B OX 201606, DALLAS, TX 75320-0001
(972) 758-3598

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E1850
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140230713
TX
05
140230732
TX
05
140230733
TX
01
84456F
BCBS
TX
01
88827Z
BCBS
TX
01
8BT319
BCBS
TX
01
930045374
MEDICARE RAILROAD
TX
01
930054064
RAILROAD
TX
01
P00844716
RRMCARE THRU SAEMA
TX
Enumeration date
12/15/2005
Last updated
10/04/2010
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