Individual
MR. LARRY M. MOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042
(713) 620-4000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
435700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027654
AANA RECERTIFICATION
—
05
—
2165313
—
LA
01
—
87235U
BCBS
TX
Enumeration date
12/27/2005
Last updated
08/31/2020
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