Individual
DR. LAURA CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7000 W PLANO PKWY, SUITE 110, PLANO, TX 75093-8466
(972) 300-4200
(972) 300-4201
Mailing address
PO BOX 869380, PLANO, TX 75086-9380
(972) 758-3598
(972) 599-9604
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
L5696
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8V0284
BCBS
TX
Enumeration date
09/25/2006
Last updated
07/08/2007
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