Active NPI
Richard W. Laurence, LSA
- Specialist
- North Richland Hills, TX
National Provider Identifier
1275621930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- SA00079
- Practice address
- 7925 Coldshire CT
North Richland Hills, TX 76180-1045 - Phone
- (817) 281-1196
- Fax
- (817) 281-7404
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | SA00079 | TX | Primary |
Addresses
Primary practice location
7925 Coldshire CT
North Richland Hills, TX 76180-1045
Mailing address
7925 Coldshire CT
North Richland Hills, TX 76180-1045
Phone (817) 281-1196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0081JR | Other | TX | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00079 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275621930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7925 COLDSHIRE CT",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761801045",
"telephone_number": "817-281-1196",
"fax_number": "817-281-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7925 COLDSHIRE CT",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761801045",
"telephone_number": "817-281-1196",
"fax_number": "817-281-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURENCE",
"first_name": "RICHARD",
"middle_name": "W.",
"credential": "LSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "SA00079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0081JR",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Richland Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.