Individual
DOUGLAS ALAN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, DEPT. OF PATHOLOGY, TEMPLE, TX 76508-0001
(254) 724-9627
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
P0751
TX
Other
Enumeration date
12/09/2008
Last updated
09/30/2020
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