Stephen Alan Larsen OD

NPI 1720148604 - Optometrist - 152W00000X

NPI Details
NPI 1720148604
Gender Male
Enumeration Date 12/11/2006
Last Updated 02/13/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1506 E GRIFFIN PKWY
MISSION TX, 78572, US
Phone (956) 583-0202
Fax (956) 583-0200
Business Location
1506 E GRIFFIN PKWY
MISSION TX, 78572, US
Phone (956) 583-0202
Fax (956) 583-0200
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 7903TG
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According to our database, Stephen Alan Larsen OD NPI is 1720148604, taxonomy code is 152W00000X and license number is 7903TG, license state is located at Texas. Stephen Alan Larsen OD physically located at 1506 E Griffin Pkwy, Mission TX, 78572. NPI Number Stephen Alan Larsen OD has the Individual type.

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1720148604 NPI number is provided on an as is basis without warranty of any kind. 1720148604 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Alan Larsen OD are for informational purposes only.