Provider Demographics
NPI:1598396590
Name:LAURA GALLAGHER DO PLLC
Entity Type:Organization
Organization Name:LAURA GALLAGHER DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-566-7810
Mailing Address - Street 1:7777 FOREST LN STE C670
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6804
Mailing Address - Country:US
Mailing Address - Phone:972-566-7810
Mailing Address - Fax:
Practice Address - Street 1:7777 FOREST LN STE C670
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-6804
Practice Address - Country:US
Practice Address - Phone:972-566-7810
Practice Address - Fax:972-566-6285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty