Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | F4918 | TX |
NPI | 1033167622 |
---|---|
Provider Name | Dr. Richard Morris Larrey |
First Address | Houston, TX 77065-3514 |
Second Address | Houston, TX 77065-3514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 10/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C18171 | (02) | TX |