Laura Murphy Fertak, PAC
Physician Assistant in Houston, TX. Individual provider (NPI-1).
NPI number1982604658
StatusActive
Last updated in NPPESFeb 17, 2017
Details
- NPI
- 1982604658
- Entity type
- Individual (NPI-1)
- Name
- Laura Murphy Fertak
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2005
- Last updated
- Feb 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA00454 | TX | Yes |
| 363AS0400X | Physician Assistant, Surgical | PA00454 | TX |
Practice location
6550 Fannin StSuite 2600
Houston, TX 77030-2717
Phone 713-441-3595 · Fax 713-793-7107
Mailing address
6550 Fannin StSuite 2600
Houston, TX 77030-2717
Phone 713-441-3595 · Fax 713-793-7107
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