LAUREL LEE HUMPHREY, M.D., PLLC
Marriage and Family Therapists at Colleyville Blvd, Colleyville, TX

License number
Texas M1773
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. JESSICA LYNN STANGENWALD DC
Title: CFO
Phone: (817) 281-9040
Address
Address
5200 Colleyville Blvd STE B, Colleyville, TX 76034
National Provider ID: 1780084442
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAUREL LEE HUMPHREY, M.D., P.L.L.C

5200 Colleyville Blvd STE B, Colleyville, TX 76034

Registration:
Jul 18, 2014
State ID:
0802029745
Agent:
Laurel L Humphrey,5200 Colleyville Blvd SUITE B, Colleyville, TX 76034 (Physical)
TIN:
32054657336

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