SearchTexas101YA0400X

Larry Marable, LCDC

NPI 1831357706 · on the registry since 2008 · sole proprietor

Practice

Address
910 Teakwood Lane
Desoto, TX 75115
Phone
(469) 223-5474

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-28

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