Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY EDWARD BOLTON JR., PA-C
ActiveLARRY EDWARD BOLTON JR., PA-C is a Physician Assistant healthcare provider located in AUSTIN, Texas. NPI 1164684692 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · AUSTIN, TX
Registration Details
- NPI Number
- 1164684692
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2008 (18.122767447203 yrs)
- Last Updated
- Jun 26, 2008
- Licenses
-
PA 02475 (TX)PA 02475 (TX)
Practice Information
- Address
-
3000 S IH 35STE 205AUSTIN, TX, 787046513Browse TX providers · Browse ZIP 78704
- Phone
- 5129128200
- Fax
- 5129128206
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
Other Physician Assistant Providers in AUSTIN, TX
| Name | Credential | NPI |
|---|---|---|
| COURTNEY S KYLE | PA-C | 1033112511 |
| MRS. THERESA BIEDENBACH | P.A. | 1649270604 |
| MR. THOMAS VAN HORN | P.A. | 1851392724 |
| PHILIP A WEBER | PA | 1124029475 |
| MR. JOHN FOSTER KASEL | PA-C | 1477555290 |
| MR. HAROLD B ESKEW III | PA | 1659366805 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.