Provider Demographics
NPI:1952618704
Name:CALAIS, LAURA C (CNS)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:C
Last Name:CALAIS
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:C
Other - Last Name:HOELTING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7800 SHOAL CREEK BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1098
Mailing Address - Country:US
Mailing Address - Phone:512-204-3600
Mailing Address - Fax:
Practice Address - Street 1:3801 N LAMAR BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-4080
Practice Address - Country:US
Practice Address - Phone:512-206-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX746724364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX283567303Medicaid
TX280567302Medicaid
TX831N44OtherBCBS
TX280567304Medicaid
TX8783NLOtherBCBS
TX280567301Medicaid
TX280567302Medicaid
TX280567301Medicaid
TX329084YL9XMedicare PIN
TX831N44OtherBCBS