Individual
JOHN A LARRINAGA
Active
Individual
JOHN A LARRINAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L4516
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152450601
—
TX
05
—
152466201
—
TX
05
—
152466202
—
TX
05
—
152466203
—
TX
01
—
8B0526
BCBS
TX
01
—
8CU211
BCBS MFH JV LOCATION
TX
01
—
TIN PLUS 005
TRICARE MFH JV LOCATION
TX
01
—
TIN PLUS 113
TRICARE
TX
Enumeration date
02/15/2006
Last updated
10/13/2014
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