Stephen M Larson
Anesthesiologist Dentist - General Practice
6411 Fannin St
Houston
, Texas 77030-1501
Stephen M Larson
Anesthesiologist Dentist - General Practice
6411 Fannin St
Houston
, Texas 77030-1501
(713) 500-3500
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About
Features
Specialties
- General Practice
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Stephen M Larson
- Po Box 301173
- Dallas, TX
- Zip : 75303-1173
- Phone : (713) 500-3500
Second Address
- Stephen M Larson
- 6411 Fannin St
- Houston, TX
- Zip : 77030-1501
- Fax : (713) 500-6201
- Phone : (713) 500-6200
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 11353 | TX |
| Y | 213EG0000X | General Practice | 11353 | TX |
| N | 207L00000X | Anesthesiologist | 11353 | TX |
National Provider Identifier
| NPI | 1003838459 |
|---|---|
| Provider Name | Stephen M Larson |
| First Address | Dallas, TX 75303-1173 |
| Second Address | Houston, TX 77030-1501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 09/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 102216202 | (05) | TX |
| 84214F | BCBS (01) | TX |
| 8X6137 | BCBS (01) | TX |
| U11063 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.