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Logan Larsen, MD
Student in an Organized Health Care Education/Training Program in Temple, Texas
NPI 1962104935

Logan Larsen is a Student in an Organized Health Care Education/Training Program based in Temple, TX. Logan Larsen practices in Temple, TX and has the professional credentials of MD. The NPI Number for Logan Larsen is 1962104935 and holds a License No. (Texas).

The current practice location address for Logan Larsen is 2401 S 31St St # Ms 161B, Temple, TX and can be reached out via phone at 254-724-2364.

Location: 2401 S 31St St # Ms 161B, Temple, TX, 76508-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962104935
Provider Name
Logan Larsen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2401 S 31St St # Ms 161B, Temple, TX, 76508-0001
Phone Number
254-724-2364
Fax Number
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
764409 01 TX TEXAS MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
2401 S 31St St # Ms 161B
City
Temple
State
Texas
Zip
76508-0001
Phone Number
254-724-2364
Fax Number
person
Provider Business Mailing Address Details
Address
2401 S 31St St # Ms 161B
City
Temple
State
Texas
Zip
76508-0001
Phone Number
254-724-2364
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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