Evan Larson
Evan Larson is a Durable Medical Equipment & Medical Supplies in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2020
Practice location Address checks out
1100 Bridgewood Dr Ste 102Fort Worth, TX 76112-0808
Phone: (817) 966-7000
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Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 1001565 (TX) |
|---|
Record details
| NPI number | 1376164921 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 5, 2020 |
| Last updated in NPPES | May 5, 2020 |
| Certification date | May 5, 2020 |
| Mailing address | 1100 Bridgewood Dr Ste 102, Fort Worth, TX 76112-0808 |
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