Dr. Larry Ralph Fane
M. D. | Pediatrics | Male
Dr. Larry Ralph Fane, M. D. is a Georgetown, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Larry Ralph Fane is
612 E University Ave, Georgetown, Texas - 78626-7034. He can be contacted on phone at
512-930-5437.
Dr. Larry Ralph Fane is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Larry Ralph Fane is
1992754345 which was assigned by NPPES on 10 May, 2006 and it was last updated on 09 Mar, 2011.
Dr. Larry Ralph Fane license number is
D7566 for Pediatrics (208000000X) in Texas.
Dr. Larry Ralph Fane is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Larry Ralph Fane basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Larry Ralph Fane |
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| Credential : | M. D. |
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| Gender : | Male |
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Business Address:
Dr. Larry Ralph Fane address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 612 E University Ave
Georgetown, TX, 78626-7034
United States |
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| Phone Number : | 512-930-5437 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1992754345 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 May, 2006 |
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| Last Updated On : | 09 Mar, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Larry Ralph Fane are as mentioned. Primary taxonomy code for Dr. Larry Ralph Fane, M. D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | D7566 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Larry Ralph Fane such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1309775-01 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 205 E University Ave, Suite 200
Georgetown, TX, 78626-6814
United States |
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| Phone Number : | 512-686-0207 |
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Business Location:
Patients can refer following map for directions to
Dr. Larry Ralph Fane practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.