Larry Brockman, PA-C

NPI 1760792469 · on the registry since 2010 · sole proprietor

Practice

Address: 3150 Horton Rd
Forest Hill, TX 76119
Phone: (817) 534-8400
Organisation at this address: Fci Fort Worth
Federal Correctional Institution
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-11-16

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