Lauren Elizabeth Daub, PA
Physician Assistant in Fort Worth, TX. Individual provider (NPI-1).
NPI number1962069443
StatusActive
Last updated in NPPESJul 13, 2023
Details
- NPI
- 1962069443
- Entity type
- Individual (NPI-1)
- Name
- Lauren Elizabeth Daub
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2019
- Certification date
- Jul 6, 2023
- Last updated
- Jul 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA12825 | TX | Yes |
| 363AM0700X | Physician Assistant, Medical | PA12825 | TX |
Practice location
6844 Harris Parkway Suite 300Fort Worth, TX 76132
Phone 817-263-0007
Mailing address
813 Highlands AveAledo, TX 76008-1578
Phone 713-302-6475
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