Organization
NORTHWEST ENDO SURGICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J ST. LAURENT MD (OWNER/ PHYSICIAN)
(281) 921-1890
Entity
Organization
Contact information
Practice address
18220 STATE HIGHWAY 249, STE. 300, HOUSTON, TX 77070-4347
(281) 921-1890
(281) 921-1897
Mailing address
18220 STATE HIGHWAY 249, STE. 300, HOUSTON, TX 77070-4347
(281) 921-1890
(281) 921-1897
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J4536
TX
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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