Provider Demographics
NPI:1750375382
Name:LARRY L STRICKLAND JR DPM PC
Entity type:Organization
Organization Name:LARRY L STRICKLAND JR DPM PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:940-566-3838
Mailing Address - Street 1:4230 N I-35
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207-3408
Mailing Address - Country:US
Mailing Address - Phone:940-566-3838
Mailing Address - Fax:940-382-6393
Practice Address - Street 1:4230 N I-35
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76207-3408
Practice Address - Country:US
Practice Address - Phone:940-566-3838
Practice Address - Fax:940-382-6393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1313213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1315270001OtherDEMERC
U62503Medicare UPIN
TX00U62XMedicare ID - Type Unspecified