Larrievel Fey Rodriguez Bourgoyne, is a
Physical Therapist - Geriatrics based in Meadows Place, Texas. Larrievel Fey Rodriguez Bourgoyne is licensed to practice in Texas (license number 1247183) and her current practice location is
11919 W Airport Blvd, Meadows Place, Texas. She can be reached at her office (for appointments etc.) via phone at
(281) 206-0785.
NPI number for Larrievel Fey Rodriguez Bourgoyne is 1063884773 and her current mailing address is 11919 W Airport Blvd, Meadows Place, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063884773.
Healthcare Provider's Profile
Full Name | Larrievel Fey Rodriguez Bourgoyne |
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Gender | Female |
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Speciality | Physical Therapist - Geriatrics |
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Location | 11919 W Airport Blvd, Meadows Place, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063884773
- Provider Enumeration Date: 10/21/2015
- Last Update Date: 02/18/2016
Medical Identifiers
Medical identifiers for Larrievel Fey Rodriguez Bourgoyne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063884773 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251G0304X | Physical Therapist - Geriatrics | 1247183 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larrievel Fey Rodriguez Bourgoyne is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Larrievel Fey Rodriguez Bourgoyne, 11919 W Airport Blvd, Meadows Place, TX 77477-2409 Ph: () - | Larrievel Fey Rodriguez Bourgoyne, 11919 W Airport Blvd, Meadows Place, TX 77477-2409 Ph: (281) 206-0785 |
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