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Contact Information

LARRY R TAYLOR, CRNA
2407 WIMBLEDON DR
ARLINGTON, TX76017
 Phone: 817-465-3614
 Fax: 817-472-0694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for LARRY R TAYLOR · (Male)

NPI # 1528010139
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 05/16/2006
Last updated 08/11/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 227469
  • TX Medicaid 109792506
  • TX Other 00SD39 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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