Organization
LARRY W DUNKERLEY DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY WAYNE DUNKERLY DPM PC (OWNER PRESIDENT)
(972) 875-6320
Entity
Organization
Contact information
Practice address
800 W LAMPASAS, STE A, ENNIS, TX 75119-4536
(972) 875-6320
(972) 875-6332
Mailing address
800 W LAMPASAS, STE A, ENNIS, TX 75119-4536
(972) 875-6320
(972) 875-6332
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153604701
—
TX
Enumeration date
01/30/2008
Last updated
01/30/2008
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