Provider Demographics
NPI:1861240087
Name:LAURINE MICHAEL PLLC
Entity type:Organization
Organization Name:LAURINE MICHAEL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-933-7706
Mailing Address - Street 1:12231 S SHADOW COVE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2512
Mailing Address - Country:US
Mailing Address - Phone:713-933-7706
Mailing Address - Fax:
Practice Address - Street 1:9125 WEST RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-8623
Practice Address - Country:US
Practice Address - Phone:713-937-0050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty