LOGAN LARSEN MD
NPI 1962104935
Student in an Organized Health Care Education/Training Program in Temple, TX

Q: What is Logan Larsen's NPI number?

The NPI number for Logan Larsen is 1962104935. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Logan Larsen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Logan Larsen was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 21, 2023

2401 S 31ST ST # MS 161B, TEMPLE, TX 76508(254) 724-2364 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Logan Larsen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN LARSEN MD (NPI 1962104935) is an individual student in an organized health care education/training program in Temple, Texas and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1962104935

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLOGAN LARSENCredential: MD

Location Address2401 S 31ST ST # MS 161BTemple, TX 76508-0001

Mailing Address2401 S 31st St # Ms 161bTemple, TX 76508-0001

Phone(254) 724-2364

Sole ProprietorNo

Enumeration DateMarch 21, 2023

Last NPPES UpdateApril 17, 2023

NPPES CertifiedApril 17, 2023

✔ NPI 1962104935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

2401 S 31ST ST # MS 161B, Temple, TX 76508

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Other Identifiers 1

Other764409TX · Texas Medical Board

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID DENTON HARRIS DO

Internal Medicine