Individual
LARRY PHENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2235
(361) 562-5542
Mailing address
3918 PRISCILLA DR, CORPUS CHRISTI, TX 78414-5630
(361) 562-5542
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP133729
TX
Other
Enumeration date
01/30/2017
Last updated
07/15/2024
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