DR. Larry Ralph Fane, M. D.

NPI #1992754345 in Georgetown, Texas

Provider Information

NPI Number: 1992754345
Entity Type: Individual
Name: DR. Larry Ralph Fane, M. D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M. D.
Enumeration Date: May 10, 2006
Last Updated: Mar 9, 2011

Practice Location

Address: 612 E UNIVERSITY AVE
City: Georgetown
State: Texas
ZIP Code: 78626-7034
Phone: (512) 930-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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