Organization
LAURA G POWER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA G POWER MD (PRESIDENT)
(817) 579-0084
Entity
Organization
Contact information
Practice address
1305 PALUXY RD STE B, GRANBURY, TX 76048-5641
(817) 579-0084
(817) 579-0021
Mailing address
1305 PALUXY RD STE B, GRANBURY, TX 76048-5641
(817) 579-0084
(817) 579-0021
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L6583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010KK
BCBS
TX
05
—
158953301
—
TX
Enumeration date
12/30/2007
Last updated
06/20/2008
Update your record
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