Provider Demographics
NPI:1164521746
Name:LAROE, MICHELE CLARKE (MD)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:CLARKE
Last Name:LAROE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:M
Other - Middle Name:
Other - Last Name:LAROE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PA
Mailing Address - Street 1:922 HOMESTEAD RDG
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-1644
Mailing Address - Country:US
Mailing Address - Phone:830-291-8080
Mailing Address - Fax:830-291-8081
Practice Address - Street 1:910 GRUENE ROAD, BLDG 1
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130
Practice Address - Country:US
Practice Address - Phone:830-625-0600
Practice Address - Fax:830-625-0603
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2020-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ65372084P0805X, 2084P0800X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine