Provider Demographics
NPI:1720076276
Name:SCHORN, LARRY W (MD)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:W
Last Name:SCHORN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1110 COTTONWOOD LN
Mailing Address - Street 2:SUITE 210
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-6117
Mailing Address - Country:US
Mailing Address - Phone:972-259-4781
Mailing Address - Fax:972-251-1820
Practice Address - Street 1:1110 COTTONWOOD LN
Practice Address - Street 2:SUITE 210
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-6117
Practice Address - Country:US
Practice Address - Phone:972-259-4781
Practice Address - Fax:972-251-1820
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1122208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103531305Medicaid
TX103531306Medicaid
TXP00910193Medicare PIN
TX103531306Medicaid
TX103531305Medicaid
TXTXB113017Medicare PIN