Individual
DR. LAURA BENNACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1325 BROADWAY ST, ROCKPORT, TX 78382-3333
(361) 729-0646
(361) 729-8854
Mailing address
1325 BROADWAY ST, ROCKPORT, TX 78382-3333
(361) 729-0646
(361) 729-8854
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K0261
TX
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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