Till, Larry P

Till, Larry P is an individual health care provider with primary practice located at 504 Medical Center Blvd , Conroe TX 77304-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Till, Larry P can be contacted via phone (409) 539-1111.

Contact Information

Primary practice address
504 Medical Center Blvd Conroe TX 77304-2808
Phone: (409) 539-1111
Fax: (409) 788-8044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J0314 Texas

Profile Details

NPI number 1679553820
LBN Legal business name Till, Larry P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated Dec 1st, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679553820 NPPES
Texas MEDICAID 139280516
Texas Other 8F9642
Texas Other 1679553820
Texas MEDICAID 139280518

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