Individual
MR. LARRY R ISBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4295 KINSEY DR, TYLER, TX 75703-1004
(903) 526-5000
(903) 526-5006
Mailing address
4295 KINSEY DR, TYLER, TX 75703-1004
(903) 526-5000
(903) 526-5006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC4157
TX
111NR0400X
Rehabilitation Chiropractor
Primary
DC4157
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601544
BCBS
TX
Enumeration date
11/27/2006
Last updated
01/07/2013
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