Provider Demographics
NPI:1992824056
Name:LARRY MCILROY CHIROPRACTIC ARTS, P.A.
Entity Type:Organization
Organization Name:LARRY MCILROY CHIROPRACTIC ARTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCILROY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-894-8119
Mailing Address - Street 1:111 JOHN DUPREE DR
Mailing Address - Street 2:
Mailing Address - City:LEVELLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79336-6326
Mailing Address - Country:US
Mailing Address - Phone:806-894-8119
Mailing Address - Fax:806-894-2796
Practice Address - Street 1:111 JOHN DUPRE
Practice Address - Street 2:
Practice Address - City:LEVELLAND
Practice Address - State:TX
Practice Address - Zip Code:79336
Practice Address - Country:US
Practice Address - Phone:806-894-8119
Practice Address - Fax:806-894-2796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00256UMedicare PIN