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Individual

DR. LARRY D TARRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
104 E US HIGHWAY 80, SUITE 100, FORNEY, TX 75126-8615
(972) 552-2020
(972) 552-1701
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5597TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038435603
TX
Enumeration date
07/10/2006
Last updated
10/01/2020
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