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Laurie Boquet Dory, M.d.p.a.
Specialist in Fort Worth, Texas
NPI 1326314881

Laurie Boquet Dory, M.d.p.a. is a Specialist based in Fort Worth, TX. Laurie Boquet Dory, M.d.p.a. practices in Fort Worth, TX. The NPI Number for Laurie Boquet Dory, M.d.p.a. is 1326314881 and holds a License No. J4779 (Texas).

The current practice location address for Laurie Boquet Dory, M.d.p.a. is 901 Travis Ave, Fort Worth, TX and can be reached out via phone at 817-332-5585 and via fax at 817-332-5377.

Location: 901 Travis Ave, Fort Worth, TX, 76104-3137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326314881
Provider Name
Laurie Boquet Dory, M.d.p.a.
Credential
Provider Entity Type
Organization
Address
901 Travis Ave, Fort Worth, TX, 76104-3137
Phone Number
817-332-5585
Fax Number
817-332-5377
Provider Enumeration Date
03/29/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1460289-01 05 TX
7540001 01 TX AETNA
180041477 01 TX RAILROAD MEDICARE
2075692 01 TX CIGNA
3378225 01 TX BCBS BLUE LINK
0076EQ 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
901 Travis Ave
City
Fort Worth
State
Texas
Zip
76104-3137
Phone Number
817-332-5585
Fax Number
817-332-5377
person
Provider Business Mailing Address Details
Address
901 Travis Ave
City
Fort Worth
State
Texas
Zip
76104-3137
Phone Number
817-332-5585
Fax Number
817-332-5377
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
J4779 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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