Individual
LAURA FAYE GEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD469792
PA
207V00000X
Obstetrics & Gynecology Physician
Q0261
TX
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
MD469792
PA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Q0261
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33987703
—
TX
01
—
H08HJ61101
BCBS
TX
Enumeration date
06/16/2010
Last updated
10/02/2020
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