NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

TOMMY W LAIRD, JR., PA-C – NPI #1679620058
Medical


Contact Information

TOMMY W LAIRD, JR., PA-C
5400 CROSSLAKE PKWY
SUITE 300
WACO, TX76712-6977
 Phone: 254-420-2336
 Fax: 254-732-0795
 Website:
 

Specialty

Taxonomy

Medical

363AM0700X
Indicates primary specialty
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NPI Information

NPI Number 1679620058
Credentials PA-C
Entity Individual
Enumeration date 01/05/2007
Last updated 03/14/2012
Sole proprietor No
Identifiers
TX License # PA03396
TX Medicare UPIN P77792
Other ML1747027 DEA REGISTRATION NUMBER
Other 1034587 NCCPA CERTIFICATION ID NUMBER
TX Other 00157011 TEXAS DPS REGISTRATION NUMBER
TX Other PA03396 TEXAS PA LICENSE

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