Active NPI
Laura Ilene Dew
- Anesthesiology Physician
- Houston, TX
National Provider Identifier
1922157148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- J6103
- Practice address
- 1500 Citywest Blvd
Ste. 300
Houston, TX 77042-2300 - Phone
- (713) 620-4000
- Fax
- (713) 458-4229
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | J6103 | TX | Primary |
Addresses
Primary practice location
1500 Citywest Blvd
Ste. 300
Houston, TX 77042-2300
Mailing address
PO Box 650865
Dallas, TX 75265-0865
Phone (972) 233-1999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125592902 | Medicaid | TX | |
| 84Y537 | Other | TX-BLUE SHIELD | |
| 050041738 | Other | TX | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J6103 | TX | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1922157148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650865",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650865",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CITYWEST BLVD",
"address_2": "STE. 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770422300",
"telephone_number": "713-620-4000",
"fax_number": "713-458-4229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEW",
"first_name": "LAURA",
"middle_name": "ILENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "J6103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125592902",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX-BLUE SHIELD",
"identifier": "84Y537",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050041738",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Devoted Medical Group of Texas Inc
- Devotion Health Care Services, Inc.
- Kelly Kristine Devous, NP
- Seychelle Devries, MD
- Dew Right Logistics Inc
- Daniel Wayne Dewalch, D.C.
- Elizabeth Danielle Dewalch, BSN, RN
- Latasha Dewalt, M.ED., LPC ASSOCIATE
- Ritika Tina Dewan, RN-BSN, CPNP-PC
- L. Edison Dewar, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.