Larry J Portales (NPI# 1104950278, PAC ID# 8224295563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1104950278 |
| PAC ID by PECOS | 8224295563 |
| Professional Enrollment ID | I20120130000280 |
| Full Name | Larry J Portales |
| Address |
2401 S Stemmons Fwy Suite 2000 Lewisville TX 75067-2304 |
| Phone Number | 9723160110 |
| Gender | M |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1973 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2401 S Stemmons Fwy, Suite 2000, Lewisville, TX 75067-2304 | 9723160110 |
| Street Address |
2401 S STEMMONS FWY SUITE 2000 |
| City | LEWISVILLE |
| State | TX |
| Zip | 75067-2304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott F Mcgough | Physical Therapy | Advanced Physical Therapy, Inc | 724 W Main, Suite 180, Lewisville, TX 75067 |
| Cody C Burns | Physical Therapy | Advanced Physical Therapy, Inc | 724 W Main, Suite 180, Lewisville, TX 75067 |
| Michelle Lynn Bergamini-bjornberg | Physical Therapy | Advanced Physical Therapy, Inc | 724 W Main, Suite 180, Lewisville, TX 75067 |
| Devki Jaiswal | Family Medicine | American Current Care Pa | 2403 S Stemmons Fwy, Suite 103, Lewisville, TX 75067-2314 |
| Majdouleen M Georgeos | Family Medicine | American Current Care Pa | 2403 S Stemmons Fwy, Suite 103, Lewisville, TX 75067-2314 |
| Christine E Morgan | Family Medicine | American Current Care Pa | 2403 S Stemmons Fwy, Suite 103, Lewisville, TX 75067-2314 |
| Feyisetan S Lott | Family Medicine | American Current Care Pa | 2403 S Stemmons Fwy, Suite 103, Lewisville, TX 75067-2314 |
| Tori Deanna Comeau | Nurse Practitioner | American Current Care Pa | 2403 S Stemmons Fwy, Suite 103, Lewisville, TX 75067-2314 |
| Don B Cauthen | Family Practice | 1318 W Main A, Lewisville, TX 75067-3326 | |
| Dori Rochelle Bonitatibus | Chiropractic | 1422 W Main St, Suite 205, Lewisville, TX 75067-3391 | |
| Find all physicians in zip 75067 | |||
| City | LEWISVILLE |
| Zip Code | 75067 |
| Specialty | OPTOMETRY |
| City + Specialty | LEWISVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Larry J Portales.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.