Organization
MATTHEW ST. LAURENT MD., PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW J ST. LAURENT MD (PRESIDENT)
(281) 921-1890
Entity
Organization
Contact information
Practice address
18220 TOMBALL PKWY, SUITE 300, HOUSTON, TX 77070-4347
(281) 921-1890
(281) 921-1897
Mailing address
18220 TOMBALL PKWY, SUITE 300, HOUSTON, TX 77070-4347
(281) 921-1890
(281) 921-1897
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J4536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166571301
—
TX
01
—
8S2410
BCBSTX PIN
TX
Enumeration date
08/13/2007
Last updated
07/31/2017
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