Taylor, Larry R.
Taylor, Larry R. is an sole proprietor health care provider with primary practice located at 2407 Wimbledon Dr , Arlington TX 76017. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Taylor, Larry R. can be contacted via phone (817) 465-3614.Contact Information
Primary practice address
2407 Wimbledon Dr
Arlington TX 76017
Phone: (817) 465-3614
Fax: (817) 472-0694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 227469 | Texas |
Profile Details
| NPI number | 1528010139 |
|---|---|
| LBN Legal business name | Taylor, Larry R. |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Aug 11th, 2019 - about 5 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 | 1528010139 | NPPES |
| Texas | Other | 00SD39 | BCBS |
| Texas | MEDICAID | 109792506 | BCBS |
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