Larry Wilkinson

NPI #1689765414 in Rosenberg, Texas

Provider Information

NPI Number: 1689765414
Entity Type: Organization
Organization Name: Larry Wilkinson
Primary Specialty: Optometrist
Enumeration Date: Sep 27, 2006
Last Updated: Jun 26, 2015

Practice Location

Address: 4000 AVENUE I
City: Rosenberg
State: Texas
ZIP Code: 77471-3904
Phone: (281) 342-4664

Authorized Official

Name: DR. LARRY (NMI) WILKINSON, O. D.
Title: OWNER / OPTOMETRIST
Phone: (281) 342-4664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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