Individual
MR. MATTHEW J ST. LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18220 TOMBALL PKWY, STE 300, HOUSTON, TX 77070-4347
(281) 921-1890
(281) 921-1897
Mailing address
18220 TOMBALL PKWY, STE 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
—
1665713-01
—
TX
01
—
202105379
TAX ID
TX
01
—
8S2410
BCBS
TX
Enumeration date
02/02/2006
Last updated
07/18/2007
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