Spradley, Larry Wilson
Spradley, Larry Wilson is an sole proprietor health care provider with primary practice located at 4224 Heritage Trace Pkwy Ste 304 , Fort Worth TX 76244-5379. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Spradley, Larry Wilson can be contacted via phone (817) 741-2200.Contact Information
Primary practice address
4224 Heritage Trace Pkwy Ste 304
Fort Worth TX 76244-5379
Phone: (817) 741-2200
Fax: (817) 741-2216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 9829 | Texas |
Profile Details
| NPI number | 1386637536 |
|---|---|
| LBN Legal business name | Spradley, Larry Wilson |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Feb 18th, 2011 - about 13 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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