Individual
GERALD P LAURSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4775 HAMILTON WOLFE RD STE 1, STE. 220, SAN ANTONIO, TX 78229-3456
(210) 616-0283
(210) 616-0071
Mailing address
4775 HAMILTON WOLFE RD STE 1, SAN ANTONIO, TX 78229-3456
(210) 616-0283
(210) 616-0071
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
F0242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128629606
—
TX
Enumeration date
06/13/2005
Last updated
04/17/2013
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