MEDICARE: DR. RICHARD MORRIS LARREY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	F4918	TX

General Provider Information

NPI Number	:	1033167622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD MORRIS LARREY M.D.

Provider Business Mailing Address
First Line	:	11734 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-3514
Country	:	US
Telephone Number	:	713-795-4963
Fax Number	:

Provider Business Practice Location Address
First Line	:	11734 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-3514
Country	:	US
Telephone Number	:	713-795-4963
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	07/10/2007

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