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Contact Information

LARRY PENICK, MD
703 MORRIS ST.
EAST BERNARD, TX77435
 Phone: 979-335-4433
 Fax: 979-335-4837
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for LARRY PENICK · (Male)

NPI # 1528037579
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2006
Last updated 06/13/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # G6752
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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