LARRY JEFFERSON MD NPI 1083794341

NPI Information

  • NPI: 1083794341
  • Provider Name: LARRY JEFFERSON, MD
  • Classification: Pediatrics - 2080P0214X
  • Specialization: Pediatric Pulmonology
  • Entity Type: Individual
  • Address: 6621 FANNIN ST
    WT 6-006
    HOUSTON, TX
    ZIP 77030
  • Phone: (832) 824-6230

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NPI Details

Larry Jefferson, MD is a pediatric pulmonology pediatrics in Houston, TX. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. Larry Jefferson, MD NPI is 1083794341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6621 FANNIN ST
WT 6-006
HOUSTON, TX
ZIP 77030-316
Phone: (832) 824-6230
Fax: (832) 825-2967

The enumeration date for this NPI number is 10/17/2006 and was last updated on 9/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0203XPediatricsPediatric Critical Care MedicineG2400TEXASNo
22080P0214XPediatricsPediatric PulmonologyG2400TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E80318MEDICARE UPIN
289978FMEDICARE ID-TYPE UNSPECIFIED
3134850003MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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