Provider Demographics
NPI:1437755733
Name:LAING, WESLEY JR (PHD)
Entity Type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:
Last Name:LAING
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 WAVERLY DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-2818
Mailing Address - Country:US
Mailing Address - Phone:254-722-5225
Mailing Address - Fax:214-245-5918
Practice Address - Street 1:3900 BLUEBONNET LN STE 100
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:TX
Practice Address - Zip Code:76670-1259
Practice Address - Country:US
Practice Address - Phone:214-724-0702
Practice Address - Fax:214-245-5918
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14287101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty