Individual
DR. LARRY W FALKNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2222 MONTANA AVE, EL PASO, TX 79903-3602
(915) 544-6700
(915) 544-6707
Mailing address
PO BOX 3835, EL PASO, TX 79923-3835
(915) 544-6700
(915) 544-6707
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02458TG
TX
152WC0802X
Corneal and Contact Management Optometrist
02458TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093522303
—
TX
01
—
80665Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/26/2005
Last updated
07/15/2015
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