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Laura Street
NPI 1912223710 · on the registry since 2010
Practice
- Address
- 59 Mhs/Sgowv1, 2200 Bergquist Dr Ste 1
Whmc/Psychiatry
Lackland Afb, TX 78236 - Phone
- (210) 292-5941
- Fax
- (210) 292-5944
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas