MEDICARE: JAMES MICHAEL LAROSE DO

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	207Q00000X	Family Medicine Physician	D7432	TX

General Provider Information

NPI Number	:	1497744825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MICHAEL LAROSE DO

Provider Business Mailing Address
First Line	:	7030 BRETSHIRE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-3704
Country	:	US
Telephone Number	:	713-633-2100
Fax Number	:	713-633-2103

Provider Business Practice Location Address
First Line	:	7030 BRETSHIRE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-3704
Country	:	US
Telephone Number	:	713-633-2100
Fax Number	:	713-633-2103

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	01/03/2008

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