Organization Active NPI

Laura G Power MD PA

  • Pediatrics Physician
  • Granbury, TX
National Provider Identifier
1760667547
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L6583 Issued in TX
Legal business name
LAURA G POWER MD PA
Practice address
1305 Paluxy Rd Ste B
Granbury, TX 76048-5641
Phone
(817) 579-0084
Fax
(817) 579-0021
NPI assigned
Dec 30, 2007
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Laura G Power, MD
Title
President
Phone
(817) 579-0084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L6583 TX Primary

Addresses

Primary practice location

1305 Paluxy Rd Ste B
Granbury, TX 76048-5641

Mailing address

1305 Paluxy Rd Ste B
Granbury, TX 76048-5641
Phone (817) 579-0084

Other identifiers 2

IdentifierTypeStateIssuer
0010KKOtherTXBCBS
158953301MedicaidTX

National Provider Directory

National Provider Directory

Locations

1305 Paluxy Rd
Ste B
Granbury, TX 76048
Phone (817) 533-5233

NPI Registry JSON

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

{
    "created_epoch": "1198972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1760667547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 PALUXY RD STE B",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485641",
            "telephone_number": "817-579-0084",
            "fax_number": "817-579-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 PALUXY RD STE B",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485641",
            "telephone_number": "817-579-0084",
            "fax_number": "817-579-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA G POWER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-30",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "POWER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-579-0084",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L6583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0010KK",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158953301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.