Provider Demographics
NPI:1033114251
Name:MARKLIN, LARRY A (DC)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:A
Last Name:MARKLIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 W HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-7409
Mailing Address - Country:US
Mailing Address - Phone:903-893-4111
Mailing Address - Fax:903-893-1914
Practice Address - Street 1:1405 W HOUSTON ST
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7409
Practice Address - Country:US
Practice Address - Phone:903-893-4111
Practice Address - Fax:903-893-1914
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4746111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT14595Medicare UPIN
TX8537J1Medicare ID - Type Unspecified