Individual
DR. LAURA BUNN AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F1453
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050052220
RAILROAD MEDICARE
TX
05
—
103564401
—
TX
01
—
83372F
TX-BLUE SHIELD
—
Enumeration date
10/27/2006
Last updated
06/05/2018
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