Provider Demographics
NPI:1407041916
Name:LAURENT, AZIZ L (MD)
Entity Type:Individual
Prefix:DR
First Name:AZIZ
Middle Name:L
Last Name:LAURENT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7551 METRO CENTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-1625
Mailing Address - Country:US
Mailing Address - Phone:512-326-3300
Mailing Address - Fax:
Practice Address - Street 1:7551 METRO CENTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-1625
Practice Address - Country:US
Practice Address - Phone:512-326-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1795261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care