Provider Demographics
NPI:1770020257
Name:LAWS, VANESSA (PA-C)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:LAWS
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 1:8000 ELDORADO PKWY
Mailing Address - Street 2:BLDG E, STE A
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5940
Mailing Address - Country:US
Mailing Address - Phone:469-631-7940
Mailing Address - Fax:877-496-2375
Practice Address - Street 1:8000 ELDORADO PKWY
Practice Address - Street 2:BLDG E, STE A
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5940
Practice Address - Country:US
Practice Address - Phone:469-631-7940
Practice Address - Fax:877-496-2375
Is Sole Proprietor?:No
Enumeration Date:2017-01-23
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA11075363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant