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
Update your record
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