Provider Demographics
NPI:1710150958
Name:ASERON, LAUREN MURDOCK (PA-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MURDOCK
Last Name:ASERON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 847682
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-7682
Mailing Address - Country:US
Mailing Address - Phone:512-494-9985
Mailing Address - Fax:512-494-9986
Practice Address - Street 1:6500 MOPAC EXPWY
Practice Address - Street 2:STE. 2207
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4306
Practice Address - Country:US
Practice Address - Phone:512-494-9985
Practice Address - Fax:512-494-9986
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical