Individual
BRIANA MICHELLE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10601 PECAN PARK BOULEVARD, SUITE 201, AUSTIN, TX 78750-1206
(512) 401-0400
(512) 401-0403
Mailing address
10601 PECAN PARK BOULEVARD, SUITE 201, AUSTIN, TX 78750-1206
(512) 401-0400
(512) 401-0403
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
007195
NY
Other
Enumeration date
07/06/2007
Last updated
09/07/2010
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