Individual provider · Type 1 NPI

Larry Edward Bolton Jr., PA-C

Physician Assistant · Austin, TX

NPI number 1164684692 Active

Practice location

3000 S Ih 35, Ste 205
Austin, TX 78704-6513

Fax (512) 912-8206

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA 02475 (TX)
Surgical Physician Assistant 363AS0400XPA 02475 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1164684692

Larry Edward Bolton Jr., PA-C's National Provider Identifier is 1164684692, issued on Jun 26, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Austin, TX. The record was last updated on Jun 26, 2008.