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Individual

DR. LARRY NEAL GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
315 E COLORADO ST, PEARSALL, TX 78061-3207
(830) 334-8077
(830) 334-8079
Mailing address
315 E COLORADO ST, PEARSALL, TX 78061-3207
(830) 334-8077
(830) 334-8079

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2313TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060505002
MEDICARE RAILROAD
TX
05
112322604
TX
Enumeration date
01/27/2006
Last updated
12/17/2008
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