Provider Demographics
NPI:1568592236
Name:STETZNER, LARRY C (MD)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:C
Last Name:STETZNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1015 WEST LOOP 281
Mailing Address - Street 2:SUITE #9
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604
Mailing Address - Country:US
Mailing Address - Phone:903-759-5301
Mailing Address - Fax:903-759-4512
Practice Address - Street 1:1015 WEST LOOP 281
Practice Address - Street 2:SUITE #9
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604
Practice Address - Country:US
Practice Address - Phone:903-759-5301
Practice Address - Fax:903-759-4512
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG73532083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine