MEDICARE: DR. TOMMY CLYDE LARISON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1714	NM

General Provider Information

NPI Number	:	1902086416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TOMMY CLYDE LARISON D.C.

Provider Business Mailing Address
First Line	:	216 SANGRE DE CRISTO
Second Line	:
City	:	CEDAR CREST
State	:	NM
Zip	:	87008-9525
Country	:	US
Telephone Number	:	505-300-6390
Fax Number	:

Provider Business Practice Location Address
First Line	:	3311 CANDELARIA RD NE
Second Line	:	STE K
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-1952
Country	:	US
Telephone Number	:	505-300-6390
Fax Number	:	866-373-3607

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	03/04/2019

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1023973617 — JESSICA HOGAN
Practice Location Address:

3311 CANDELARIA RD NE STE E
ALBUQUERQUE, NM
87107-1952

Practice Phone: 505-200-9962
Practice Fax:

1144183948 — DAMIEN PADILLA
Practice Location Address:

3311 CANDELARIA RD NE STE C
ALBUQUERQUE, NM
87107-1952

Practice Phone: 866-727-8274
Practice Fax:

1134120645 — DR. THOMAS JOSEPH WHALEN III M.D.
Practice Location Address:

3311 CANDELARIA RD NE STE K
ALBUQUERQUE, NM
87107-1952

Practice Phone: 505-246-9190
Practice Fax: 505-896-9461

1275773384 — BEST PAIN RELIEF AND INJURY CLINIC - AUTO ACCIDENT INJURY CARE, LLC
Practice Location Address:

3311 CANDELARIA RD NE STE K
ALBUQUERQUE, NM
87107-1952

Practice Phone: 505-323-2114
Practice Fax: 505-332-9483

1174868756 — HOME HEALTH OF NEW MEXICO
Practice Location Address:

3311 CANDELARIA ROAD NE , SUITE K
ALBUQUERQUE, NM
87107-1952

Practice Phone: 505-344-8182
Practice Fax: 505-830-9444

Directions to “ DR. TOMMY CLYDE LARISON D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.