Fane, Larry Ralph
Fane, Larry Ralph is an individual health care provider with primary practice located at 612 E University Ave , Georgetown TX 78626-7034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fane, Larry Ralph can be contacted via phone (512) 930-5437.Contact Information
Primary practice address
612 E University Ave
Georgetown TX 78626-7034
Phone: (512) 930-5437
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D7566 | Texas |
Profile Details
NPI number | 1992754345 |
---|---|
LBN Legal business name | Fane, Larry Ralph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Mar 9th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992754345 | NPPES |
Texas | MEDICAID | 1309775-01 |
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