Individual provider · Type 1 NPI

Larry Wayne Shock Jr., CRNA

Certified Registered Nurse Anesthetist · Dallas, TX

NPI number 1265717904 Active

Practice location

13737 Noel Road, Suite 1400
Dallas, TX 75240-2004

Call (972) 715-5000 Map

Fax (972) 715-9976

Mailing address

PO Box 650865
Dallas, TX 75265-0865

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X786298 (TX)
Certified Registered Nurse Anesthetist Primary 367500000X786298 (TX)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1265717904

Larry Wayne Shock Jr., CRNA's National Provider Identifier is 1265717904, issued on Oct 13, 2011. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Dallas, TX. The record was last updated on May 21, 2014.