Individual
LARRY RAY MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2000 S MAYS ST STE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
Mailing address
2000 S MAYS ST STE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
568172
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP108412
TX
367500000X
Certified Registered Nurse Anesthetist
C01190
AR
367500000X
Certified Registered Nurse Anesthetist
R0070440
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002444002
—
TX
05
—
002444012
—
TX
05
—
138955701
—
AR
01
—
5Y131
BLUE CROSS BLUE SHIELD
AR
01
—
P00181940
MEDICARE RAILROAD
AR
Enumeration date
11/28/2005
Last updated
01/09/2026
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