LARRY PHENIX

CORPUS CHRISTI, TX
NPI1609313550
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP133729)
Enumeration Date2017-01-30
Last Update Date2019-12-14
Business Address
-- LARRY PHENIX CRNA
600 ELIZABETH ST
CORPUS CHRISTI, TX 78404-2235
Phone number: 361-562-5542
Mailing Address
-- LARRY PHENIX CRNA
3918 PRISCILLA DR
CORPUS CHRISTI, TX 78414-5630
Phone number: 361-562-5542