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Individual

LARRY C. DRIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
F6585
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134961506
TX
01
84696X
BCBS
TX
Enumeration date
10/12/2006
Last updated
03/02/2010
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