Search › Texas › 363A00000X
Larry Bolton, PA-C
NPI 1164684692 · on the registry since 2008
Practice
- Address
- 3000 S Ih 35
Ste 205
Austin, TX 78704 - Phone
- (512) 912-8200
- Fax
- (512) 912-8206
- Organisation at this address
- Foundation Communities, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-26
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