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LARRY EDWARD BOLTON JR. PA-C
NPI 1164684692
Physician Assistant in Austin, TX

Active since June 26, 2008
3000 S IH 35, STE 205, AUSTIN, TX 78704(512) 912-8200(512) 912-8206 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry Edward Bolton Jr. Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY EDWARD BOLTON JR. PA-C (NPI 1164684692) is an individual physician assistant in Austin, Texas, licensed in Texas (PA 02475) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1164684692
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLARRY EDWARD BOLTON JR.Credential: PA-C
Location Address3000 S IH 35, STE 205Austin, TX 78704-6513
Mailing Address3000 S Ih 35, Ste 205Austin, TX 78704-6513 · (512) 912-8200 · Fax (512) 912-8206
Phone(512) 912-8200
Fax(512) 912-8206
Sole ProprietorNo
Enumeration DateJune 26, 2008
✔ NPI 1164684692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA 02475
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA 02475 (TX)
3000 S IH 35, Austin, TX 78704
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELANIE MUNK LPC
Counselor
3000 S IH 35, SUITE 315
AUSTIN, TX 78704
Travis County (512) 444-9922

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Bolton's NPI number?

The NPI number for Larry Bolton is 1164684692. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Larry Bolton located?

Larry Bolton practices at 3000 S Ih 35 Ste 205, Austin, TX 78704. The listed phone number is (512) 912-8200.

What is Larry Bolton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Larry Bolton was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.