Provider Demographics
NPI:1194883272
Name:ARMAS-KOLOSTROUBIS, LAURA NOELIA (MD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:NOELIA
Last Name:ARMAS-KOLOSTROUBIS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6255 W SUNSET BLVD FL 21
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7422
Mailing Address - Country:US
Mailing Address - Phone:323-860-5200
Mailing Address - Fax:
Practice Address - Street 1:400 N BEACH ST STE 104
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76111-7070
Practice Address - Country:US
Practice Address - Phone:817-831-1750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME112207207R00000X, 207RI0200X
TXK4358207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFY288WMedicare PIN
H10252Medicare UPIN
TXTXB120649Medicare PIN
H10252Medicare UPIN
TX8U7232OtherBCBS
TX107491614Medicaid
TX107491620Medicaid
TX107491616Medicaid
TX141412001Medicaid
TX107491602Medicaid
TX107491605Medicaid
TX107491619Medicaid
TX107491607Medicaid
TX107491609Medicaid
TX107491610Medicaid
TX107491612Medicaid