Individual
DR. LARRY EDWARD KOCIAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3124 E CENTRAL TEXAS EXPY, KILLEEN, TX 76543-7333
(254) 690-4733
(254) 690-6728
Mailing address
2504 JACKSON DR, HARKER HEIGHTS, TX 76548-2737
(210) 781-5883
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9258TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382733901
—
TX
Enumeration date
06/12/2017
Last updated
06/13/2023
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