Larry Wayne Shock Jr. is a Dallas, Texas based nurse anesthetist with 14 years of experience as Nurse Anesthetist. He completed he graduation in 2011. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Larry Wayne Shock Jr. is 786298 for Anesthesia Administration in Texas. his current practice location is 13737 Noel Road, Suite 1400, Dallas. Patients can reach him at 972-715-5000 or can fax him at 972-715-9976. Larry Wayne Shock Jr. is CRNA with specialization in Nurse Anesthetist and he NPI number (Unique professional ID assigned by NPPES) is 1265717904. Larry Wayne Shock Jr. is a certified 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.
Complete Profile:
Larry Wayne Shock Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Nurse Anesthetist
Credentials:
CRNA
Experience:
14+ years
Medical School Attended:
Other
Graduation Year:
2011
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
13737 Noel Road, Suite 1400, Dallas, Texas, 75240-2004
Phone:
972-715-5000
Fax:
972-715-9976
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4284896192
Enrollment ID:
I20201120001117
NPI Number:
1265717904
NPI Enumeration Date:
13 Oct, 2011
NPI Last Update On:
21 May, 2014
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larry Wayne Shock Jr. are as mentioned below.
License Number
Specialization
State
Status
786298
Anesthesia Administration
Texas
Primary
786298
Registered Nurse
Texas
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
North Hawaii Community Hospital (120028)
Kamuela, HI
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Larry Wayne Shock Jr. has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Medstream Anesthesia Hawaii Llc (6002120599)
18
Other Medical Identifiers:
Other legacy medical identifiers associated with Larry Wayne Shock Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P01102917
Other
Texas
RAILROAD MEDICARE PTAN
200458930A
Medicaid
Oklahoma
8476UD
Other
Texas
BCBS PIN
306652401
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 650865, Dallas, Texas
Zip:
75265-0865
Phone Number:
972-715-5000
Fax Number:
972-715-9976
Patients can reach Larry Wayne Shock Jr. at 13737 Noel Road, Suite 1400, Dallas, Texas or can call to book an appointment on 972-715-5000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.