Organization
LAVEAR MEDICAL, P.A
Active
Other names
CowTown Headache Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LAVEAR PA-C (OWNER)
(636) 575-0888
Entity
Organization
Contact information
Practice address
4055 INTERNATIONAL PLZ STE 660, FORT WORTH, TX 76109-4874
(817) 592-8427
(833) 630-0542
Mailing address
3912 HOMESTEAD CT, GRANBURY, TX 76049-6205
(636) 575-0888
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
11/03/2021
Last updated
02/20/2023
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