Provider Demographics
NPI:1982892931
Name:DEMPSEY, LAUREN (PA-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 GASTON AVE FL 4
Mailing Address - Street 2:HTPN- TRANSPLANT SERVICES, LLP
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2017
Mailing Address - Country:US
Mailing Address - Phone:214-820-2050
Mailing Address - Fax:214-820-4527
Practice Address - Street 1:3500 GASTON AVE FL 4
Practice Address - Street 2:HTPN- TRANSPLANT SERVICES, LLP
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2017
Practice Address - Country:US
Practice Address - Phone:214-820-2050
Practice Address - Fax:214-820-4527
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA03967363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
8L12921OtherMEDICARE PROVIDER NUMBER (PTAN)