Provider Demographics
NPI:1669683314
Name:WOLOVITS, LAURA E (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:E
Last Name:WOLOVITS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:E
Other - Last Name:BRUMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4311 OAK LAWN AVE
Mailing Address - Street 2:SUITE 450
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-2315
Mailing Address - Country:US
Mailing Address - Phone:214-425-5690
Mailing Address - Fax:
Practice Address - Street 1:4311 OAK LAWN AVE
Practice Address - Street 2:SUITE 450
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-2315
Practice Address - Country:US
Practice Address - Phone:214-425-5690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA95724208000000X
TXM3174208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics