Frase, Larry Lynn

Frase, Larry Lynn is an individual health care provider with primary practice located at 1300 N 4Th St , Longview TX 75601-4717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Frase, Larry Lynn can be contacted via phone (903) 757-2122.

Contact Information

Primary practice address
1300 N 4Th St Longview TX 75601-4717
Phone: (903) 757-2122
Fax: (903) 757-9475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X G5058 Texas

Profile Details

NPI number 1942242995
LBN Legal business name Frase, Larry Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated May 2nd, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942242995 NPPES
Texas Other 135968906 CSHCN
Texas MEDICAID 135968901 CSHCN
Texas MEDICAID 135968909 CSHCN
Texas Other 8R1439 CSHCN
Texas MEDICAID 135968908 CSHCN
Texas MEDICAID 135968910 CSHCN
Texas MEDICAID 135968903 CSHCN

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