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Individual

VIVIAN LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, AGACNP-BC

Contact information

Practice address
1200 BINZ ST STE 900, HOUSTON, TX 77004-6938
(713) 522-0220
(713) 522-0232
Mailing address
124 MCGOEY CIR, CONROE, TX 77384-2129
(281) 387-2165

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1110423
TX

Other

Enumeration date
02/15/2023
Last updated
09/20/2023
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