Larry Ralph Fane, M. D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D7566 Issued in TX

Practice address

612 E University Ave
Georgetown, TX 78626-7034

Phone

(512) 930-5437

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lone Star Circle of Care

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
  • NPI 1699289728
  NPD (past)
• South Texas Medical Clinics, P.a.

  • General Practice Physician
  • East Bernard, TX
  • NPI 1114077427
  NPD (past)
• South Texas Medical Clinics, P.a.

  • General Practice Physician
  • Wharton, TX
  • NPI 1770688905
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1992754345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE",
            "address_2": "SUITE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266814",
            "telephone_number": "512-686-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E UNIVERSITY AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267034",
            "telephone_number": "512-930-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANE",
        "first_name": "LARRY",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "D7566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309775-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Care Network LLC
• Family ENT of Georgetown PLLC
• Family Medical Center of Georgetown, PA
• Family Patient Transportation LLC
• Family Total Dental PA
• Farlife LLC
• Carol Farn, DDS
• Farr Orthodontics PLLC
• Samantha Evans Farr, DDS
• Alexandra Farrington, MS

• Pediatrics Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.