Larry Jefferson
MD | Pediatric Pulmonology | Male
Larry Jefferson, MD is a Houston, Texas based Pediatric doctor with medical specialization in
Pediatric Pulmonology.
Current practice location of Larry Jefferson is
6621 Fannin St, Wt 6-006, Houston, Texas - 77030-2316. He can be contacted on phone at
832-824-6230 and fax number 832-825-2967.
Larry Jefferson is a sole proprietor of his business.
NPI number (Unique professional ID) for Larry Jefferson is
1083794341 which was assigned by NPPES on 17 Oct, 2006 and it was last updated on 17 Sep, 2015.
Larry Jefferson license number is
G2400 for Pediatrics Pediatric Pulmonology (2080P0214X) in Texas.
Larry Jefferson is dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Complete Profile:
Larry Jefferson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Pulmonology |
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| Provider Name : | Larry Jefferson |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Larry Jefferson 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 : | 6621 Fannin St, Wt 6-006
Houston, TX, 77030-2316
United States |
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| Phone Number : | 832-824-6230 |
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| Fax Number : | 832-825-2967 |
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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 : | 1083794341 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Oct, 2006 |
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| Last Updated On : | 17 Sep, 2015 |
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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 Larry Jefferson are as mentioned. Primary taxonomy code for Larry Jefferson, MD is
2080P0214X (Pediatrics Pediatric Pulmonology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | G2400 | TX |
| 2080P0214X | Pediatrics Pediatric Pulmonology | Yes | G2400 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Larry Jefferson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 134850003 | 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 : | 6621 Fannin St, Wt 6-006
Houston, TX, 77030-2303
United States |
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| Phone Number : | 832-824-6230 |
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| Fax Number : | 832-825-2967 |
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Business Location:
Patients can refer following map for directions to
Larry Jefferson 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.