Larry P Till is a Emergency Medicine in Conroe, Texas. Larry P Till practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Larry P Till is 1679553820. The last update date is 2010-12-01.
Larry P Till's current location address is 504 Medical Center Blvd, Conroe, Texas. You can contact this provider via phone number 4095391111 and fax number 4097888044. The mailing address for Larry P Till is 504 Medical Center Blvd, Conroe, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry P Till |
|---|---|
| Address | 504 Medical Center Blvd, Conroe, Texas |
| Phone Number | 4095391111 |
| Fax Number | 4097888044 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679553820 |
|---|---|
| Provider Enumeration Date | 2006-01-21 |
| Last Updated Date | 2010-12-01 |
Provider Mailing Address Detail
| Address | 504 Medical Center Blvd |
|---|---|
| City | Conroe |
| State | Texas (TX) |
| Post Code | 773042808 |
| Phone Number | 4095391111 |
| Fax Number | 4097888044 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | J0314 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 139280516 | TX | -- | |
| 8F9642 | TX | BCBSTX PROV NO | |
| 1679553820 | TX | TRICARE SOUTH | |
| 139280518 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Larry P Till by the Centers for Medicare & Medicaid Services?
The Larry P Till has been assigned the NPI (National Provider Identifier) 1679553820. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Larry P Till's facilities are situated?
The facilities of Larry P Till are physically located at the following address: 504 Medical Center Blvd, Conroe, TX, 773042808.
What is Larry P Till's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Larry P Till's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.
When did Larry P Till receive its 1679553820 assignment?
The Larry P Till was assigned its 1679553820 on 2006-01-21, which is the date when this unique identifier was issued to the organization.
When was the information regarding Larry P Till most recently updated?
The details pertaining to the Larry P Till, including its address, specialty, and other relevant information, were last refreshed on 2010-12-01.