Provider Demographics
NPI:1619096047
Name:BEARD, LAURA BAKER (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:BAKER
Last Name:BEARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5445 LA SIERRA DR STE 250
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4153
Mailing Address - Country:US
Mailing Address - Phone:214-691-9090
Mailing Address - Fax:214-691-9094
Practice Address - Street 1:5445 LA SIERRA DR STE 250
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4153
Practice Address - Country:US
Practice Address - Phone:214-691-9090
Practice Address - Fax:214-691-9094
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK97252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry