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Contact Information

LARRY L MCCULLOUGH, MD
540 W 15TH ST
HEREFORD, TX79045-2820
 Phone: 806-364-7512
 Fax: 806-364-5256
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Complex Family Planning

207VC0300X 16
Indicates primary specialty

NPI Profile & details for LARRY L MCCULLOUGH · (Male)

NPI # 1275540411
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 05/29/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • PA License # MD057040L
  • TX License # S8207
  • TX Medicaid 418792401
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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