Individual
DR. LARRY PUTHENPARAMBIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8540 BROADWAY ST STE 210, PEARLAND, TX 77584-7710
(832) 727-1771
Mailing address
8540 BROADWAY ST STE 210, PEARLAND, TX 77584-7710
(832) 727-1771
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
P2345
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
P2345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100908
—
TX
Enumeration date
12/05/2008
Last updated
07/27/2023
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