Search › Texas › 2255A2300X
Laurel Trail, LAT, ATC, CES
NPI 1336771518 · on the registry since 2020
Practice
- Address
- 4920 Thistle Dr Apt 67
Tyler, TX 75703 - Phone
- (928) 308-9993
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas