LABORDE DERMATOLOGY PA NPI 1003006156

NPI Information

LABORDE DERMATOLOGY, PA is a specialist in Houston, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LABORDE DERMATOLOGY, PA NPI is 1003006156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1333 WEST LOOP S STE 1425
HOUSTON, TX
ZIP 77027-121
Phone: (713) 960-0700
Fax: (713) 960-0761

The provider's authorized official is Stephen Van Laborde .
The authorized official title is Physician and has the following contact phone number (713) 960-0700.

The CLIA number assigned to this NPI record is 45D1046810 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/25/2007 and was last updated on 7/25/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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