Bolton, Larry Edward

Bolton, Larry Edward is an individual health care provider with primary practice located at 3000 S Ih 35 Ste 205, Austin TX 78704-6513. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bolton, Larry Edward can be contacted via phone (512) 912-8200.

Contact Information

Primary practice address
3000 S Ih 35 Ste 205 Austin TX 78704-6513
Phone: (512) 912-8200
Fax: (512) 912-8206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 02475 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 02475 Texas

Profile Details

NPI number 1164684692
LBN Legal business name Bolton, Larry Edward
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2008
Last updated Jun 26th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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