Organization
LAURIE MCKILLIP M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE MCKILLIP MD (PHYSICIAN/OWNER)
(281) 296-8500
Entity
Organization
Contact information
Practice address
1120 MEDICAL PLAZA DR, SUITE 250, SHENANDOAH, TX 77380-3242
(281) 296-8500
(281) 296-8594
Mailing address
1120 MEDICAL PLAZA DR, SUITE 250, SHENANDOAH, TX 77380-3242
(281) 296-8500
(281) 296-8594
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G9021
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03741
CIGNA
TX
01
—
586248
UNITED HEALTHCARE
TX
01
—
8A0972
BLUE CROSS & BLUE SHEILD
TX
01
—
976050
AETNA
TX
01
—
E79307
UPIN
TX
01
—
G9021
TEXAS LICENSE
TX
Enumeration date
08/19/2008
Last updated
11/06/2008
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