Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | 15229 | MT |
Y | 2080P0207X | Pediatric Hematology-Oncologist | N2613 | TX |
NPI | 1043367907 |
---|---|
Provider Name | Carrie Elizabeth Laborde |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76502-1814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 29/09/2020 |