P Praxis·MD
● Active Type 1 · Individual

Larry Edward Bolton JR., PA-C

Physician Assistant·Austin, TX· NPI 1164684692 · Enumerated 2008 · 17 years on NPI
Bolton is 1 of 594 physician assistant providers in Austin and 1 of 11022 in Texas.
NPI age
17 years
Enumerated 2008-06-26
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-06-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 11022 active physician assistant providers in Texas.

NPI age
17 years
↑ 7 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Practice location
3000 S Ih 35, Ste 205
Austin, TX 787046513
📞 5129128200fax 5129128206
Mailing address
3000 S Ih 35, Ste 205
Austin, TX 787046513
📞 5129128200fax 5129128206

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    TX license #PA 02475 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    TX license #PA 02475 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 9 new physician assistant providers have been added in Austin in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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