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Larry Edward Bolton Jr., PA-C

NPI 1164684692ActiveIndividual· Physician Assistant· Austin, TX

Physician Assistant (PA-C) in Austin, Texas, licensed in TX, with an NPI issued in June 2008.

Overview

NPI1164684692
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJun 26, 2008
Last updated in NPPESJun 26, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA 02475TX
Physician Assistant, Surgical363AS0400XPA 02475TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Austin

All 631 physician assistants in Austin · All physician assistants in Texas