Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD443178 | PA |
N | 208600000X | Surgeon | MD443178 | PA |
N | 208200000X | Surgeon | P4355 | TX |
N | 208600000X | Surgeon | P4355 | TX |
Y | 2086S0122X | Plastic and Reconstructive Surgery | P4355 | TX |
NPI | 1124140397 |
---|---|
Provider Name | Laura Ann Monson |
First Address | Houston, TX 77004-7998 |
Second Address | Houston, TX 77030-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 08/10/2012 |