Individual
LAURA PETREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2710 SWISS AVENUE, DALLAS, TX 75204-5900
(214) 821-1599
(214) 821-8985
Mailing address
3701 JUNIUS ST, CS11 G006, DALLAS, TX 75246-2026
(214) 821-1599
(214) 821-8985
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
L2824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148514601
—
TX
Enumeration date
07/02/2006
Last updated
09/28/2012
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