Price, Larry Randolph
Price, Larry Randolph is an sole proprietor health care provider with primary practice located at 824 E Redd Rd Ste 1-A , El Paso TX 79912-7262. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Price, Larry Randolph can be contacted via phone (915) 581-8152.Contact Information
Primary practice address
824 E Redd Rd Ste 1-A
El Paso TX 79912-7262
Phone: (915) 581-8152
Fax: (915) 833-7517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 7326 | Texas |
Profile Details
| NPI number | 1952412801 |
|---|---|
| LBN Legal business name | Price, Larry Randolph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952412801 | NPPES |
| Texas | Other | D07326 | BCBS OF TEXAS |
| Texas | Other | 768511 | BCBS OF TEXAS |
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