Individual
DR. LAURA E O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 TROUP HWY, STE 240, TYLER, TX 75701-8397
(903) 510-8888
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
L5288
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
L5288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175071301
—
TX
Enumeration date
02/17/2006
Last updated
03/10/2025
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