Individual
MISS MICHELLE LASTRAPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12603 SOUTHWEST FWY STE 335, STAFFORD, TX 77477-3842
(281) 269-6701
Mailing address
12603 SOUTHWEST FWY STE 335, STAFFORD, TX 77477-3842
(281) 269-6701
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01756
TX
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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