Doctor Name: | DR. PIERRE EARL LAUGHTON |
NPI Number: | 1578523999 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 2002012684 |
Business Practice Address: | 408 Glenwood St Glen Rose, TX - 760434932 |
Business Phone Number: | 2548971643 |
Business Fax Number: | 2548980324 |
Mailing Address: | 408 Glenwood St, GLEN ROSE |
State: | TX |
Postal Code: | 760434932 |
Phone Number: | 2548971643 |
Fax Number: | 2548980324 |
NPI Enumeration Date: | 03/28/2006 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 2002012684 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |