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Individual

LARRY MATHIAS III

Active
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Individual

LARRY MATHIAS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
651497
TX
2085R0202X
Diagnostic Radiology Physician
Primary
22158
ND
2085R0202X
Diagnostic Radiology Physician
651497
TX
2085R0202X
Diagnostic Radiology Physician
7571
OK
2085R0202X
Diagnostic Radiology Physician
OS21928
FL
2085R0204X
Vascular & Interventional Radiology Physician
7571
OK

Other

Enumeration date
04/28/2016
Last updated
12/09/2025
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