Laurier Junior Paul, NP
Individual provider Active NPI Family Nurse Practitioner · Shepherd, TX
NPI 1962025445 · NPPES record last updated Mar 14, 2024
Key facts
- NPI
- 1962025445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1117632 (TX)
- Practice address
- 11 Woodland Park Dr
Shepherd, TX 77371-6495 - Phone
- (936) 628-1100
- NPI assigned
- May 19, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health Center of Southeast Texas
Practice addresses (Care Compare)
11 Woodland Park Dr
Health Ctr of SE TX Shepherd
Shepherd, TX 77371-7737
Phone (936) 628-1100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231027001877 | TX | Practitioner - Nurse Practitioner | 4486000411 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HSE30584 | FL | MD | Family Medicine Physician |
| 1117632 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Center of Southeast Texas | Family Medicine | Current |
Accepting new patients |
| Health Center of Southeast Texas | Current | Accepting new patients | |
| Health Center of Southeast Texas | Family Medicine | Current |
Accepting new patients |
| Health Center of Southeast Texas | Family Medicine | Past |
Accepting new patients |
Locations
307 N William Barnett Ave
Cleveland, TX 77327
Phone (281) 592-2224
2206 N Cleveland St
Dayton, TX 77535
Phone (281) 592-2224
1400 N Travis St
Liberty, TX 77575
Phone (936) 327-4660
204 W Park
Ste 200
Livingston, TX 77352
Phone (936) 327-4660
11 Woodland Park Dr
Shepherd, TX 77371
Phone (936) 628-1100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIDFAA
- laurier.paul.1@28492.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | HSE30584 | FL | |
| Family Nurse Practitioner | 363LF0000X | 1117632 | TX | Yes |
Addresses
Primary practice location
11 Woodland Park Dr
Shepherd, TX 77371-6495
Mailing address
14918 Waterside View CT
Houston, TX 77044-2087
Phone (561) 667-7230
Other providers in Shepherd, TX
- Health Center of Southeast Texas
- Nanci Loren
- LTC Healthcare Shepard Inc
- David W. Middlebush
- Stephanie Gail Myers-Kiker
- PNV Creative Care, Inc
- PNV Creative Care, Inc
- Gendaraneshy Rodriguez
- Emily Sheffield
- Shepherd I S D
All providers in Shepherd, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.