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Individual
DR. LARRY PENICK
Active
Individual
DR. LARRY PENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G6752
TX
207Q00000X
Family Medicine Physician
Primary
G6752
TX
208D00000X
General Practice Physician
G6752
TX
Other
Enumeration date
03/14/2006
Last updated
06/13/2019
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