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Organization

LARRY L. LIKOVER MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GAYLE SPENCE (OFFICE MANAGER)
(713) 465-0690
Entity
Organization

Contact information

Practice address
902 FROSTWOOD DR, SUITE 269, HOUSTON, TX 77024-2420
(713) 465-0696
(713) 465-7334
Mailing address
902 FROSTWOOD DR, SUITE 269, HOUSTON, TX 77024-2420
(713) 465-0696
(713) 465-7334

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E4483
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08856
MEDICARE TPN
TX
Enumeration date
02/23/2016
Last updated
02/23/2016
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