MEDICARE: LARRY J SETTLES PA

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	363A00000X	Physician Assistant	PA03741	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8N8368	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962437806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARRY J SETTLES PA

Provider Business Mailing Address
First Line	:	1108 GULF FWY S
Second Line	:	STE 230
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-5100
Country	:	US
Telephone Number	:	409-370-9587
Fax Number	:	281-557-4443

Provider Business Practice Location Address
First Line	:	1108 GULF FWY S
Second Line	:	STE 230
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-5100
Country	:	US
Telephone Number	:	409-370-9587
Fax Number	:	281-557-4443

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	11/14/2012

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