Individual
ANDRE LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10223 BROADWAY ST STE D1, PEARLAND, TX 77584-7881
(713) 436-2782
Mailing address
10223 BROADWAY ST STE D1, PEARLAND, TX 77584-7881
(713) 436-2782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41410
TX
Other
Enumeration date
04/25/2024
Last updated
01/08/2026
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