Individual
LARRY S. DENCKLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6800 SCENIC DR, ROWLETT, TX 75088-4552
(972) 412-3345
Mailing address
10109 HUFFINES DR, ROWLETT, TX 75089
(972) 475-0475
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-112818
IL
207P00000X
Emergency Medicine Physician
Primary
M2940
TX
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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