Individual
LARRY J. CHRISTANTE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 476-7111
Mailing address
8140 N MOPAC EXPY, SUITE 3-210, AUSTIN, TX 78759-8837
(512) 493-9227
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
546163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040061
CRNA CERTIFICATE
TX
Enumeration date
03/27/2006
Last updated
07/08/2007
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