Larry Wayne Shock JR. is a Certified Registered Nurse Anesthetist based in Dallas, TX. Larry Wayne Shock JR. practices in Dallas, TX and has the professional credentials of CRNA. The NPI Number for Larry Wayne Shock JR. is 1265717904 and holds a License No. 786298 (Texas).
The current practice location address for Larry Wayne Shock JR. is 13737 Noel Road, Dallas, TX and can be reached out via phone at 972-715-5000 and via fax at 972-715-9976.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01102917 | 01 | TX | RAILROAD MEDICARE PTAN |
| 200458930A | 05 | OK | |
| 8476UD | 01 | TX | BCBS PIN |
| 306652401 | 05 | TX |
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