Dr Devin Hemingway Larsen, DO | |
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | |
(210) 916-5545 | |
Not Available |
Full Name | Dr Devin Hemingway Larsen |
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Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992196026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 1600 (Nebraska) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | S9175 (Texas) | Primary |
Entity Name | Austin Anesthesiology Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598724304 PECOS PAC ID: 0547256497 Enrollment ID: O20040424000086 |
Entity Name | Endo Sedation Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
Entity Name | Orthomed Staffing Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20180905000794 |
Mailing Address | Practice Location Address |
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Dr Devin Hemingway Larsen, DO 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: () - | Dr Devin Hemingway Larsen, DO 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-5545 |
Dr. Greggory Jose Martinez, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr Rm 167-25, Jbsa Ft Sam Houston, TX 78234 Phone: 210-292-5077 Fax: 210-292-7868 | |
Timothy John Hepler, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 254-288-8234 Fax: 254-286-7196 | |
Dominic Samuel Ratto, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-5545 | |
Caleb Hodge, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-0000 | |
Matthew Robert Puntel, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-8666 | |
Stephen Carter Bird, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-9354 | |
Dr. Francis Spaulding, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-8666 Fax: 210-916-8712 |