Provider Demographics
NPI:1962435073
Name:HOUTS, LARRY L (DO)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:L
Last Name:HOUTS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 TECUMSEH DR.
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-1153
Mailing Address - Country:US
Mailing Address - Phone:740-851-5550
Mailing Address - Fax:
Practice Address - Street 1:7 TECUMSEH DR.
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-1153
Practice Address - Country:US
Practice Address - Phone:740-851-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-00-7192H207Q00000X
OH34007192174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2373195Medicaid
OH2373195Medicaid