Larry Wayne Brockman, PA-C
NPI #1760792469 in Forest Hill, Texas
Provider Information
- NPI Number
- 1760792469
- Entity Type
- Individual
- Name
- Larry Wayne Brockman, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 14, 2010
- Last Updated
- Nov 16, 2010
Practice Location
- Address
- 3150 HORTON RD
- City
- Forest Hill
- State
- Texas
- ZIP Code
- 76119-5905
- Phone
- (817) 534-8400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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