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Organization
MARK D. LARSON, M.D., P.A.
Active
Organization
MARK D. LARSON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LARSON M.D. (PHYSICIAN)
(409) 833-0193
Entity
Organization
Contact information
Practice address
950 N 11TH ST, BEAUMONT, TX 77702-1203
(409) 833-0193
Mailing address
950 N 11TH ST, BEAUMONT, TX 77702-1203
(409) 833-0193
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2008
Last updated
03/30/2015
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