Provider Demographics
NPI:1932494507
Name:HASKOVEC, LAURA DENISE (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:DENISE
Last Name:HASKOVEC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9620 KINGS CROSS STA
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-1246
Mailing Address - Country:US
Mailing Address - Phone:713-309-6785
Mailing Address - Fax:
Practice Address - Street 1:9620 KINGS CROSS STA
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-1246
Practice Address - Country:US
Practice Address - Phone:713-309-6785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-12
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0451207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine