| Larry Laurich, | |
|
618 N University Dr, Nacogdoches, TX 75961-4617 | |
| (936) 569-7460 | |
| (936) 560-5840 |
| Full Name | Larry Laurich |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 45 Years |
| Location | 618 N University Dr, Nacogdoches, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255326286 | NPI | - | NPPES |
| 110223801 | Medicaid | TX | |
| 159733801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 810 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nacogdoches Podiatry Pllc | 4880903558 | 2 |
| Provider Name | Nacogdoches Podiatry Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982085445 PECOS PAC ID: 4880903558 Enrollment ID: O20151020001020 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Laurich, 618 N University Dr, Nacogdoches, TX 75961-4617 Ph: (936) 569-7460 | Larry Laurich, 618 N University Dr, Nacogdoches, TX 75961-4617 Ph: (936) 569-7460 |
Dr. Matthew David Daugherty, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3316 N University Dr, Nacogdoches, TX 75965 Phone: 936-559-1700 | |
Mark Ephrom Sowell, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3316 N University Dr, Suite C, Nacogdoches, TX 75965 Phone: 936-559-1700 Fax: 936-559-1713 | |
Dr. Chad Laurich, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 618 N University Dr, Nacogdoches, TX 75961 Phone: 936-569-7460 | |
Nacogdoches Podiatry Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 618 N University Dr, Nacogdoches, TX 75961 Phone: 936-569-7460 Fax: 936-560-5840 |