Nacogdoches Podiatry Pllc | |
618 N University Dr, Nacogdoches, TX 75961-4617 | |
(936) 569-7460 | |
(936) 560-5840 |
Full Name | Nacogdoches Podiatry Pllc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 618 N University Dr, Nacogdoches, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982085445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Larry Laurich |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1255326286 PECOS PAC ID: 5092845669 Enrollment ID: I20100608000378 |
Provider Name | Chad Laurich |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1881949352 PECOS PAC ID: 9638303621 Enrollment ID: I20151020001120 |
Mailing Address | Practice Location Address |
---|---|
Nacogdoches Podiatry Pllc 618 N University Dr, Nacogdoches, TX 75961-4617 Ph: (936) 569-7460 | Nacogdoches Podiatry Pllc 618 N University Dr, Nacogdoches, TX 75961-4617 Ph: (936) 569-7460 |
Dr. Matthew David Daugherty, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3316 N University Dr, Nacogdoches, TX 75965 Phone: 936-559-1700 | |
Larry Laurich, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 618 N University Dr, Nacogdoches, TX 75961 Phone: 936-569-7460 Fax: 936-560-5840 | |
Mark Ephrom Sowell, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3316 N University Dr, Suite C, Nacogdoches, TX 75965 Phone: 936-559-1700 Fax: 936-559-1713 | |
Dr. Chad Laurich, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 618 N University Dr, Nacogdoches, TX 75961 Phone: 936-569-7460 |