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Individual

LARISA C BUCK

Active
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Individual

LARISA C BUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6326
IA
207R00000X
Internal Medicine Physician
6326
NE
208M00000X
Hospitalist Physician
Primary
Q0882
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340296801
—
TX
Enumeration date
07/05/2010
Last updated
08/31/2026
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