Larry Christopher Gough, PTA is a
Physical Medicine & Rehabilitation physician based in Waxahachie, Texas. Larry Christopher Gough is licensed to practice in Texas (license number 2074909) and his current practice location is 3650 S Interstate 35 E, Waxahachie, Texas. He can be reached at his office (for appointments etc.) via phone at
(972) 937-7320.
NPI number for Larry Christopher Gough is 1598247298 and his current mailing address is 3650 S Interstate 35 E, Waxahachie, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598247298.
Physician's Profile
| Full Name | Larry Christopher Gough |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 3650 S Interstate 35 E, Waxahachie, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598247298
- Provider Enumeration Date: 08/30/2018
- Last Update Date: 08/30/2018
Medical Identifiers
Medical identifiers for Larry Christopher Gough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598247298 | NPI | - | NPPES |
| 2074909 | Other | TX | PHYSICAL THERAPY ASSISTANT LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 2074909 (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. Larry Christopher Gough 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 Address | Practice Location Address |
|---|
Larry Christopher Gough, PTA
3650 S Interstate 35 E,
Waxahachie, TX 75165
Ph: (972) 937-7320 | Larry Christopher Gough, PTA
3650 S Interstate 35 E,
Waxahachie, TX 75165
Ph: (972) 937-7320 |
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