MICHELLE LAUREN SQUIRES

LA PORTE, TX
NPI1013615566
Former NameMICHELLE LAUREN PENROD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA16443)
Enumeration Date2023-02-22
Last Update Date2023-02-22
Business Address
MICHELLE LAUREN SQUIRES PA-C
11006 SPENCER HWY
LA PORTE, TX 77571-4416
Phone number: 281-470-2100
Mailing Address
MICHELLE LAUREN SQUIRES PA-C
3302 MANZANITA LN
MANVEL, TX 77578-3958
Phone number: 405-532-5080
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