Individual
DR. ERIC JON LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
905 NEUBERRY CLIFFE, TEMPLE, TX 76502-5184
(817) 320-4325
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N8945
TX
Other
Enumeration date
05/27/2008
Last updated
03/28/2012
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