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Evan Larson
Durable Medical Equipment & Medical Supplies in Fort Worth, Texas
NPI 1376164921

Evan Larson is a Durable Medical Equipment & Medical Supplies based in Fort Worth, TX. Evan Larson practices in Fort Worth, TX. The NPI Number for Evan Larson is 1376164921 and holds a License No. 1001565 (Texas).

The current practice location address for Evan Larson is 1100 Bridgewood Dr Ste 102, Fort Worth, TX and can be reached out via phone at 817-966-7000.

Location: 1100 Bridgewood Dr Ste 102, Fort Worth, TX, 76112-0808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376164921
Provider Name
Evan Larson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1100 Bridgewood Dr Ste 102, Fort Worth, TX, 76112-0808
Phone Number
817-966-7000
Fax Number
Provider Enumeration Date
05/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 Bridgewood Dr Ste 102
City
Fort Worth
State
Texas
Zip
76112-0808
Phone Number
817-966-7000
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Bridgewood Dr Ste 102
City
Fort Worth
State
Texas
Zip
76112-0808
Phone Number
817-966-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
1001565 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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