Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Larrievel Fey Rodriguez Bourgoyne

Individual provider Geriatric Physical Therapist · NPI 1063884773

Larrievel Fey Rodriguez Bourgoyne is a Geriatric Physical Therapist in Meadows Place, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015
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Practice location Address checks out

11919 W Airport Blvd
Meadows Place, TX 77477-2409
Phone: (281) 206-0785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 1247183 (TX)

Record details

NPI number1063884773
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 21, 2015
Last updated in NPPESFebruary 18, 2016