Provider Demographics
NPI:1841584141
Name:MAXWELL, LAURA KATIE (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:KATIE
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8140 N MOPAC EXPY BLDG III
Mailing Address - Street 2:SUITE 225
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759
Mailing Address - Country:US
Mailing Address - Phone:512-346-2332
Mailing Address - Fax:512-346-2284
Practice Address - Street 1:8140 N MOPAC EXPY BLDG III
Practice Address - Street 2:SUITE 225
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759
Practice Address - Country:US
Practice Address - Phone:512-346-2332
Practice Address - Fax:512-346-2284
Is Sole Proprietor?:No
Enumeration Date:2011-06-03
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2012-014422084P0800X
TXR89412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry