Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 286423-1 | NY |
N | 207QA0401X | Family Doctor - Addiction Medicine | 286423-1 | NY |
Y | 207QA0401X | Family Doctor - Addiction Medicine | P9201 | TX |
NPI | 1114210770 |
---|---|
Provider Name | Dr. Laura Pareso Houston |
First Address | El Paso, TX 79905-2018 |
Second Address | El Paso, TX 79905-2018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2011 |
Last Update Date | 17/03/2021 |