Provider Demographics
NPI:1962675801
Name:PRECOURT, LAURA BETH (D C)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:BETH
Last Name:PRECOURT
Suffix:
Gender:F
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 W PARKER RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-7800
Mailing Address - Country:US
Mailing Address - Phone:972-943-9355
Mailing Address - Fax:972-943-9672
Practice Address - Street 1:2237 W PARKER RD
Practice Address - Street 2:SUITE F
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-7800
Practice Address - Country:US
Practice Address - Phone:972-943-9355
Practice Address - Fax:972-943-9672
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9475111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner