Organization
LARRY N. GATES O.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY N. GATES O.D. (PRESIDENT)
(830) 334-8077
Entity
Organization
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
05
—
019182701
—
TX
Enumeration date
07/12/2006
Last updated
11/11/2008
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