Individual
NICHOLAS SCOTT LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 COGDELL BLVD, SNYDER, TX 79549-6162
(325) 573-6374
Mailing address
317 SIDNEY BAKER ST S STE 400-227, KERRVILLE, TX 78028-5984
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
141172
AK
207P00000X
Emergency Medicine Physician
Primary
MD2020-0576
NM
207P00000X
Emergency Medicine Physician
R0442
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2014
Last updated
07/17/2025
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