Larsen, David T
Larsen, David T is an individual health care provider with primary practice located at 3000 Corporate Ct Suite 400, Flower Mound TX 75028-2299. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Larsen, David T can be contacted via phone (214) 647-6165.Contact Information
Primary practice address
3000 Corporate Ct Suite 400
Flower Mound TX 75028-2299
Phone: (214) 647-6165
Fax: (214) 647-6166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | F9711 | Texas |
Profile Details
| NPI number | 1851390108 |
|---|---|
| LBN Legal business name | Larsen, David T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Aug 2nd, 2010 - about 16 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 | 1851390108 | NPPES |
| Texas | MEDICAID | 138590810 |
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