Provider Demographics
NPI:1316041858
Name:HUEY, LAURA DAWN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:DAWN
Last Name:HUEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:DAWN
Other - Last Name:SEIGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:803 CLERMONT ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75223-1213
Mailing Address - Country:US
Mailing Address - Phone:972-822-8754
Mailing Address - Fax:
Practice Address - Street 1:3418 MCKINNEY AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-2304
Practice Address - Country:US
Practice Address - Phone:214-922-9283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44420183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist