Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Larry Edward Bolton Jr., PA-C

Individual provider Physician Assistant · NPI 1164684692

Larry Edward Bolton Jr., PA-C is a Physician Assistant in Austin, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3000 S Ih 35 Ste 205
Austin, TX 78704-6513
Phone: (512) 912-8200
Fax: (512) 912-8206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 02475 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA 02475 (TX)

Record details

NPI number1164684692
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2008
Last updated in NPPESJune 26, 2008

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