Kerry a. Laursen MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L6485 Issued in TX

Legal business name

KERRY A. LAURSEN MD, PA

Practice address

3100 Timmons LN
Suite 565
Houston, TX 77027-5926

Phone

(713) 528-4440

Fax

(713) 528-4447

NPI assigned

Feb 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kerry Annette Laursen, M.DNPI 1932100054

Title

President

Phone

(713) 528-4440

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Alabama Family Physicians Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerry Annette Laursen, MD

  • Family Medicine Physician
  • Missouri City, TX
  • NPI 1932100054
  NPD Authorized official
• Aurora Villaluz Yllana-Shepperd, M.D.

  • Family Medicine Physician
  • Kingwood, TX
  • NPI 1538151634
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1750416210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 TIMMONS LN",
            "address_2": "SUITE 565",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275926",
            "telephone_number": "713-528-4440",
            "fax_number": "713-528-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TIMMONS LN",
            "address_2": "SUITE 565",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275926",
            "telephone_number": "713-528-4440",
            "fax_number": "713-528-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY A. LAURSEN MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "LAURSEN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-528-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170771301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Alabama Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerreg LLC
• Anthony Joseph Kerrigan, PHD
• Kaitlynn Arnold Kerrigan, NP
• Kathryn Marie Kerrigan, FNP
• Ali Kerro, MD
• Jared Kersey, RN
• Rebecca A Kersey
• Carol J. Kershaw, ED.D.
• Shelbi Kershaw, LVN
• Daniel J Kershner, P.T.

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.