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

Larry Wayne Shock Jr., CRNA

Individual provider Registered Nurse · NPI 1265717904

Larry Wayne Shock Jr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Dallas, Texas. Qualified in 2011, 15 years ago. Practices with Anesthesia Medical Professionals PLLC, a 104-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

13737 Noel Rd Ste 1400
Dallas, TX 75240-2004
Phone: (972) 715-5000
Fax: (972) 715-9976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 786298 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 786298 (TX)

Record details

NPI number1265717904
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 13, 2011
Last updated in NPPESMay 21, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Anesthesia Medical Professionals Pllc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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