Provider Demographics
NPI:1871785337
Name:RICHARDSON, LARRY ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:ALAN
Last Name:RICHARDSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1230 RAYFORD BND STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4693
Mailing Address - Country:US
Mailing Address - Phone:281-292-2300
Mailing Address - Fax:281-367-0605
Practice Address - Street 1:1230 RAYFORD BND STE 100
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386
Practice Address - Country:US
Practice Address - Phone:281-292-2300
Practice Address - Fax:281-367-0605
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2018-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF-4429207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine