Individual
DR. STEVEN S LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5959 GATEWAY BLVD W, SUITE 120, EL PASO, TX 79925-3331
(915) 779-1716
(915) 779-1754
Mailing address
1201 E SCHUSTER AVE, BUILDING 4B, EL PASO, TX 79902-4672
(915) 351-9200
(915) 351-9266
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G5281
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120292105
—
TX
Enumeration date
05/04/2006
Last updated
02/08/2011
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