Organization
M LAROE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE CLARKE LAROE M.D. (PSYCHIATRIST/PRESIDENT)
(830) 625-4359
Entity
Organization
Contact information
Practice address
43 GRUENE PARK DR, NEW BRAUNFELS, TX 78130-2459
(830) 625-4359
(830) 625-5877
Mailing address
43 GRUENE PARK DR, NEW BRAUNFELS, TX 78130-2459
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J6537
TX
2084P0805X
Geriatric Psychiatry Physician
J6537
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164521746
NPI
TX
Enumeration date
01/16/2009
Last updated
01/16/2009
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