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Contact Information

LARRIEVEL FEY R BOURGOYNE
11919 W AIRPORT BLVD
MEADOWS PLACE, TX77477-2409
 Phone: 281-206-0785
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LARRIEVEL FEY R BOURGOYNE · (Female)

NPI # 1063884773
Status Active
Credentials
Entity Individual
Enumeration date 10/21/2015
Last updated 02/18/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 1247183
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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