Individual
LAURA M ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
220 E. HARRIS, SAN ANGELO, TX 76903
(325) 658-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 481-2104
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L5211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155995701
—
TX
01
—
8A1612
MEDICARE PTAN
TX
Enumeration date
11/15/2005
Last updated
12/21/2017
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