Larry Edmondson, MD | |
7800 Shoal Creek Blvd, Ste 130w, Austin, TX 78757-1098 | |
(713) 874-0012 | |
(713) 532-5756 |
Full Name | Larry Edmondson |
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Gender | Male |
Speciality | Family Medicine |
Location | 7800 Shoal Creek Blvd, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689753824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L4828 (Texas) | Primary |
Entity Name | Vpa Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702 |
Mailing Address | Practice Location Address |
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Larry Edmondson, MD Po Box 1239, Troy, MI 48099-1239 Ph: (248) 824-6600 | Larry Edmondson, MD 7800 Shoal Creek Blvd, Ste 130w, Austin, TX 78757-1098 Ph: (713) 874-0012 |
Robert Obrien, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4316 James Casey St, Bldg F200, Austin, TX 78745 Phone: 512-791-7555 | |
Jason B Holinbeck, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 W 38th St Ste 102, Austin, TX 78705 Phone: 512-454-4561 Fax: 512-406-7330 | |
David L. Purtle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Lohmans Crossing Rd Ste 150, Austin, TX 78734 Phone: 737-717-8430 Fax: 737-717-8469 | |
Dr. Jared Kealy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6937 N Interstate 35 Ste 2, Austin, TX 78752 Phone: 877-800-5722 | |
Dr. Barbara Lynne Gray, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12505 Hymeadow Dr, Suite 2a, Austin, TX 78750 Phone: 512-219-8991 Fax: 512-219-8996 | |
Dr. Albert Edward Meisenbach Iii, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 West Dean Keeton, Austin, TX 78712 Phone: 512-475-8335 Fax: 512-471-0898 | |
Dr. Kanakadurga Govindaraju, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4107 Spicewood Springs Rd Ste 100, Austin, TX 78759 Phone: 512-397-3360 Fax: 512-343-7107 |