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Individual
DR. LARRY WAYNE HAMBERLIN
Active
Individual
DR. LARRY WAYNE HAMBERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., PH.D, NP-C
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
8248
TX
363LF0000X
Family Nurse Practitioner
Primary
774755
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020836-01
—
TX
01
—
0059145
BLUELINK
TX
01
—
10030732
AMERIGROUP
TX
01
—
13877
PARKLAND
—
01
—
1959676
FIRST HEALTH
TX
01
—
21206450531-01
BEECHSTREET
TX
01
—
432141
ASHN
—
01
—
7616077
AETNA
TX
01
—
89705
AMERICAID
—
Enumeration date
11/04/2005
Last updated
08/15/2012
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