Laroche Revival

NPI #1902589369 in Humble, Texas

Provider Information

NPI Number: 1902589369
Entity Type: Organization
Organization Name: Laroche Revival
Primary Specialty: Emergency Medicine
Enumeration Date: Aug 10, 2023
Last Updated: Aug 10, 2023

Practice Location

Address: 12239 PINELANDS PARK LN
City: Humble
State: Texas
ZIP Code: 77346-1539
Phone: (281) 723-6289

Authorized Official

Name: LAUREN LAROCHE, MD
Title: OWNER
Phone: (281) 723-6289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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