Dr Larry Ralph Fane, M D - Pediatrics in Georgetown, TX

Dr Larry Ralph Fane, M D is a Pediatrics physician based in Georgetown, Texas. Dr Larry Ralph Fane is licensed to practice in Texas (license number D7566) and his current practice location is 612 E University Ave, Georgetown, Texas. He can be reached at his office (for appointments etc.) via phone at (512) 930-5437.

NPI number for Dr Larry Ralph Fane is 1992754345 and his current mailing address is 205 E University Ave, Suite 200, Georgetown, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992754345.

Contact Information

Dr Larry Ralph Fane, M D
612 E University Ave,
Georgetown, TX 78626-7034
(512) 930-5437
Not Available

Map and Direction




Physician's Profile

Full NameDr Larry Ralph Fane
GenderMale
SpecialityPediatrics
Location612 E University Ave, Georgetown, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992754345
  • Provider Enumeration Date: 05/10/2006
  • Last Update Date: 03/09/2011

Medical Identifiers

Medical identifiers for Dr Larry Ralph Fane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992754345NPI-NPPES
1309775-01MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics D7566 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Larry Ralph Fane is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Larry Ralph Fane, M D
205 E University Ave, Suite 200,
Georgetown, TX 78626-6814

Ph: (512) 686-0207
Dr Larry Ralph Fane, M D
612 E University Ave,
Georgetown, TX 78626-7034

Ph: (512) 930-5437

Reviews and Comments


Pediatrics Doctors in Georgetown, TX

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Dr. Dana Lee Simmang, M.D.
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Phone: 512-930-4776    Fax: 512-863-4248
Alyna Ysela Garza, MD
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Practice Location: 4841 Williams Dr Ste 105, Georgetown, TX 78633
Phone: 512-730-3957    Fax: 512-328-2055

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