Provider Information for 1164740759
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Mr. LARRY R BELL Jr. LCMFT
Sex: Male
NPI: 1164740759
Last Updated: 2019-04-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1164740759 | ||||||||||||
| Enumeration Date | 2010-05-07 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1126 WOODCHASE DR PEARLAND, TX 77581-6730 United States Phone: 316-304-8569 | Fax: | ||||||||||||
| Primary Practice Address | 2002 HOLCOMBE BLVD HOUSTON, TX 77030-4211 United States Phone: 713-791-1414 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 1130 S BROADWAY ST | ||||||||||||
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