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Individual

MR. LARRY EUGENE BROWNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
200 MEMORIAL DR, LULING, TX 78648-3213
(830) 875-8475
(830) 875-2054
Mailing address
63 PARK ROAD 11 N, GONZALES, TX 78629-5182
(830) 875-8475
(830) 875-2054

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
E0410
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00AB17
BLUE CROSS BLUE SHIELD
TX
05
0895476-01
TX
Enumeration date
04/18/2006
Last updated
05/12/2008
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