LAURIE BOQUET DORY M.D.P.A. NPI 1326314881

NPI Information

LAURIE BOQUET DORY, M.D.P.A. is a specialist in Fort Worth, 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. LAURIE BOQUET DORY, M.D.P.A. NPI is 1326314881. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

901 TRAVIS AVE
FORT WORTH, TX
ZIP 76104-137
Phone: (817) 332-5585
Fax: (817) 332-5377

The provider's authorized official is Laurie Boquet Dory .
The authorized official title is Owner and has the following contact phone number (817) 332-5585.

The enumeration date for this NPI number is 3/29/2012 and was last updated on 3/29/2012.

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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