person
Mr. Tommy Wayne Laird JR., PA-C
Medical Physician Assistant in Waco, Texas
NPI 1679620058

Tommy Wayne Laird JR. is a Medical Physician Assistant based in Belton, TX and is specialized in Medical. Tommy Wayne Laird JR. practices in Waco, TX and has the professional credentials of PA-C. The NPI Number for Tommy Wayne Laird JR. is 1679620058 and holds a License No. PA03396 (Texas).

The current practice location address for Tommy Wayne Laird JR. is 5400 Crosslake Pkwy, Waco, TX and can be reached out via phone at 254-420-2336 and via fax at 254-732-0795. You can also correspond with Tommy Wayne Laird JR. through the mailing address at 5 ADMIRALS CIR, BELTON, TX - 76513-6301 (mailing address contact number: 512-540-1117).

Location: 5400 Crosslake Pkwy, Waco, TX, 76513-6301
person
Provider Profile Details
NPI Number
1679620058
Provider Name
Tommy Wayne Laird JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
5400 Crosslake Pkwy, Waco, TX, 76513-6301
Phone Number
254-420-2336
Fax Number
254-732-0795
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00157011 01 TX TEXAS DPS REGISTRATION NUMBER
PA03396 01 TX TEXAS PA LICENSE
1034587 01 NCCPA CERTIFICATION ID NUMBER
institution
Provider Business Practice Location Address Details
Address
5400 Crosslake Pkwy
City
State
Zip
76712-6977
Phone Number
254-420-2336
Fax Number
254-732-0795
person
Provider Business Mailing Address Details
Address
5 Admirals Cir
City
State
Zip
76513-6301
Phone Number
512-540-1117
Fax Number
254-732-0795
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA03396 (Texas)
Definition
Definition to come...
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