Individual
DR. CONNOR TRAVIS LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 724-5437
(254) 724-7597
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
841002
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP146132
TX
Other
Enumeration date
05/12/2020
Last updated
06/21/2024
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