Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | D9569 | TX |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | D9569 | TX |
NPI | 1538264239 |
---|---|
Provider Name | Larry D Messer |
First Address | Fort Worth, TX 76199-0371 |
Second Address | Fort Worth, TX 76104-2710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 02/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00U87Z | BCBSTX GRP PIN (01) | TX |
00U87Z | MEDICARE GROUP PIN (01) | TX |
10028626 | AMERIGROUP PIN (01) | TX |
110183404 | (05) | TX |
119370100 | FIRSTCARE PIN (01) | TX |
124169 | SUPERIOR PIN (01) | TX |
128236 | UHC PIN (01) | TX |
138412503 | (05) | TX |
138412510 | (05) | TX |
142204001 | (05) | TX |
1750369203 | GRP NPI NUMBER (01) | |
4366726 | AETNA PIN (01) | TX |
4615156 | CIGNA PIN (01) | TX |
730039 | FIRSTHEALTH PIN (01) | TX |
88890X | BCBSTX IND PIN (01) | TX |
E77669 | (02) |