Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 9475 | TX |
NPI | 1962675801 |
---|---|
Provider Name | Dr. Laura Beth Precourt |
First Address | Plano, TX 75023-7800 |
Second Address | Plano, TX 75023-7800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2008 |
Last Update Date | 11/04/2008 |