Provider Demographics
NPI:1346463320
Name:LAURIER A. VOCAL
Entity Type:Organization
Organization Name:LAURIER A. VOCAL
Other - Org Name:FAMILY HEALTH CENTER OF BASTROP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURIER
Authorized Official - Middle Name:A
Authorized Official - Last Name:VOCAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-304-0300
Mailing Address - Street 1:3101 HWY 71 E STE 101
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-5156
Mailing Address - Country:US
Mailing Address - Phone:512-304-0300
Mailing Address - Fax:512-304-0341
Practice Address - Street 1:3101 HWY 71 E STE 101
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-5156
Practice Address - Country:US
Practice Address - Phone:512-304-0300
Practice Address - Fax:512-304-0341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2494207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673816OtherMEDICARE RURAL HEALTH
TX092462302Medicaid
TX0089AZOtherBCBS
TX126503502Medicaid
TX126503502Medicaid
TXB27352Medicare UPIN