Larson, Steven S
Larson, Steven S is an sole proprietor health care provider with primary practice located at 5959 Gateway Blvd W Suite 120, El Paso TX 79925-3331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Larson, Steven S can be contacted via phone (915) 779-1716.Contact Information
Primary practice address
5959 Gateway Blvd W Suite 120
El Paso TX 79925-3331
Phone: (915) 779-1716
Fax: (915) 779-1754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G5281 | Texas |
Profile Details
| NPI number | 1861440653 |
|---|---|
| LBN Legal business name | Larson, Steven S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Feb 8th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861440653 | NPPES |
| Texas | MEDICAID | 120292105 |
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