Provider Demographics
NPI:1730522178
Name:CROOM, LAURA ANN (NP)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ANN
Last Name:CROOM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:ANN
Other - Last Name:ERICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP-BC
Mailing Address - Street 1:23110 CINCO RANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2891
Mailing Address - Country:US
Mailing Address - Phone:402-598-1824
Mailing Address - Fax:713-929-9448
Practice Address - Street 1:2211 FRY RD STE O
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6233
Practice Address - Country:US
Practice Address - Phone:832-321-3452
Practice Address - Fax:833-746-4523
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2023-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX794738363LA2200X
TXAP123511363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health