Individual
DR. MARY LAURA HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1701 MOORES LANE, TEXARKANA, TX 75503
(903) 794-3331
(903) 793-7217
Mailing address
1701 MOORES LANE, TEXARKANA, TX 75503
(903) 794-3331
(903) 793-7217
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
34369
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2012
Last updated
07/08/2022
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