Provider Demographics
NPI:1447364468
Name:ATEN, LAURIE ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:ANNE
Last Name:ATEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8440 WALNUT HILL LN
Mailing Address - Street 2:SUITE 120
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3833
Mailing Address - Country:US
Mailing Address - Phone:214-506-2618
Mailing Address - Fax:214-506-1172
Practice Address - Street 1:2817 S MAYHILL RD
Practice Address - Street 2:SUITE 230
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76208-5966
Practice Address - Country:US
Practice Address - Phone:940-220-0887
Practice Address - Fax:940-220-0893
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2013-06-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ0428207Q00000X, 2083A0100X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138192316Medicaid
B90843Medicare UPIN
8D7987Medicare ID - Type Unspecified