Individual
AZELIA LAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 CAMP BOWIE BLVD, FORT WORTH, TX 76107-2644
(817) 735-2000
Mailing address
501 W COWDEN AVE APT 38, MIDLAND, TX 79701-3389
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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