Larson, Evan
Larson, Evan is an sole proprietor health care provider with primary practice located at 1100 Bridgewood Dr Ste 102 , Fort Worth TX 76112-0808. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Larson, Evan can be contacted via phone (817) 966-7000.Contact Information
Primary practice address
1100 Bridgewood Dr Ste 102
Fort Worth TX 76112-0808
Phone: (817) 966-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 1001565 | Texas |
Profile Details
| NPI number | 1376164921 |
|---|---|
| LBN Legal business name | Larson, Evan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2020 |
| Last updated | May 5th, 2020 - about 6 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.
Popular Providers
-
Griffeth, Michael Todd
2376 N 400 E Ste 101 , Tooele UT 84074-3413 -
Logan, Scott Allen
3205 Robinson Creek Pkwy , Huntsville TX 77340-2299 -
Edelstein, Michael Charles
3224 Grand Concourse, Suite #Ba , Bronx NY 10458 -
Gray, Deron Terel
1500 Milmo Dr , Fort Worth TX 76134-1720 -
Harper, Spence D
190 North Main Street , Heber City UT 84032 -
Adams, Garrett Royce
8008 Camp Bowie West Blvd Ste 111 , Fort Worth TX 76116-6300 -
Hanzly, Michael Ignatius
2267 Seneca St , Buffalo NY 14210-2517 -
Soulier, Scott Martin
4578 Highland Dr Ste 380, Salt Lake City UT 84117-4243