LARRY DON WILSON PA-C
NPI 1306848981
Physician Assistant - Medical in Bacliff, TX

Q: What is Larry Wilson's NPI number?

The NPI number for Larry Wilson is 1306848981. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Q: What is Larry Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Larry Wilson was last updated on December 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 12, 2005

1136 GRAND AVE, BACLIFF, TX 77518(281) 339-5018(281) 339-5098 Get Directions Write a Review

NPPES record last updated: December 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Larry Don Wilson Pa-c NPPES

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

LARRY DON WILSON PA-C (NPI 1306848981) is an individual medical provider in Bacliff, Texas, licensed in Texas (PA00742) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1306848981

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameLARRY DON WILSONCredential: PA-C

Location Address1136 GRAND AVEBacliff, TX 77518-2760

Mailing Address2826 Forest Hills DrLeague City, TX 77573-5750 · (281) 334-6328 · Fax (281) 538-1715

Phone(281) 339-5018

Fax(281) 339-5098

Sole ProprietorYes

Enumeration DateAugust 12, 2005

Last NPPES UpdateDecember 21, 2010

✔ NPI 1306848981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA00742

1136 GRAND AVE, Bacliff, TX 77518

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Other Identifiers 2

OtherPA00742TX · State License

Medicare UPINS37093TX

Other Providers at the Same Location NPPES 3

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

BACLIFF URGENT CARE, INC

Clinic/Center (Urgent Care)

1136 GRAND AVE
BACLIFF, TX 77518

Galveston County (281) 339-5018

SPRING MINOR CARE LLC

Clinic/Center (Urgent Care)

1136 GRAND AVE
BACLIFF, TX 77518

Galveston County (713) 621-4464

STEPHEN F AUSTIN COMMUNITY HEALTH CENTER,INC

Clinic/Center (Federally Qualified Health Center (FQHC))

1136 GRAND AVE
BACLIFF, TX 77518

Galveston County (281) 824-1480

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 Wilson's NPI number?

The NPI number for Larry Wilson is 1306848981. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Larry Wilson located?

Larry Wilson practices at 1136 Grand Ave, Bacliff, TX 77518. The listed phone number is (281) 339-5018.

What is Larry Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Larry Wilson was last updated on December 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.