Provider Demographics
NPI:1740395391
Name:SEARS, LARRY C (MD)
Entity Type:Individual
Prefix:
First Name:LARRY
Middle Name:C
Last Name:SEARS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 EAST CALIFORNIA
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-4202
Mailing Address - Country:US
Mailing Address - Phone:940-665-5566
Mailing Address - Fax:940-665-8663
Practice Address - Street 1:836 EAST CALIFORNIA
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-4202
Practice Address - Country:US
Practice Address - Phone:940-665-5566
Practice Address - Fax:940-665-8663
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8894207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX091912801Medicaid
TX091912802Medicaid
TX00LA05Medicare ID - Type UnspecifiedPART B
TX453922Medicare ID - Type UnspecifiedRHC
TX091912801Medicaid