Larry Wilson, PA-C

NPI 1306848981 · on the registry since 2005 · sole proprietor

Practice

Address: 1136 Grand Ave
Bacliff, TX 77518
Phone: (281) 339-5018
Fax: (281) 339-5098
Organisation at this address: Spring Minor Care Llc
Bacliff Urgent Care, Inc
Stephen F Austin Community Health Center,Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas