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LARRY WAYNE SHOCK CRNA NPI 1265717904


NPI Information

NPI: 1265717904
Provider Name: LARRY WAYNE SHOCK, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Organization: MEDSTREAM ANESTHESIA HAWAII LLC Address:
13737 NOEL ROAD
SUITE 1400
DALLAS, TX
ZIP 75240
Phone: (972) 715-5000
Get Directions

Larry Wayne Shock, CRNA is a nurse anesthetist certified registered in Dallas, TX with 13 years of experience. The provider is (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 credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Larry Wayne Shock, CRNA NPI is 1265717904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13737 NOEL ROAD
SUITE 1400
DALLAS, TX
ZIP 75240-004
Phone: (972) 715-5000
Fax: (972) 715-9976

The enumeration date for this NPI number is 10/13/2011 and was last updated on 5/21/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse786298TEXASNo
2367500000XNurse Anesthetist, Certified Registered786298TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1339831YK6UMEDICARE PINTEXAS
2P01102917OTHERTEXASRAILROAD MEDICARE PTAN
38476UDOTHERTEXASBCBS PIN
4TXB165138MEDICARE PINTEXAS
5306652401MEDICAIDTEXAS
6200458930AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.