Larry J Mundy MD PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

H1304 Issued in TX

Legal business name

LARRY J MUNDY MD PA

Practice address

3000 Herring Ave
Waco, TX 76708-3239

Phone

(254) 202-8675

Fax

(254) 202-6669

NPI assigned

Dec 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larry J Mundy, MD PA

Title

Owner

Phone

(254) 202-8675

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1376725929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20995",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767020995",
            "telephone_number": "254-202-8675",
            "fax_number": "254-202-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HERRING AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083239",
            "telephone_number": "254-202-8675",
            "fax_number": "254-202-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY J MUNDY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "MUNDY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-202-8675",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "H1304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0085MT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carey E Lape, PA
• Joshua James Lape, PHARM.D., R.PH
• Stephanie Jane Lape, PHARM D
• Jacqueline Lara, LCDC
• Torrey Lyn Larisch, BCBA
• Ryan David Laschober, MD
• Mary Lashua
• Carrie Irene Lasly, NP
• Anna J Lason
• Theresa Lassetter, D.D.S

• Radiation Oncology Physician in Waco, TX
• Providers in Waco, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.