Individual provider · NPI-1

Dr. Laura E O'Halloran, MD

Plastic Surgery · Tyler, TX

NPI number1659345338
StatusActive
Last updated in NPPESMar 10, 2025

Details

NPI
1659345338
Entity type
Individual (NPI-1)
Name
Dr. Laura E O'Halloran
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Feb 17, 2006
Certification date
Mar 6, 2025
Last updated
Mar 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic SurgeryL5288TXYes
2086S0122X Surgery, Plastic and Reconstructive SurgeryL5288TX

Practice location

3200 Troup Hwy
Ste 240
Tyler, TX 75701-8397

Phone 903-510-8888

Mailing address

Po Box 846098
Dallas, TX 75284-6098

Phone 903-324-6450

Other practice locations

909 Ese 323 Loop
Tyler, TX 75701

Phone 903-606-8888

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