Organization
CELESTINE ALIPUI VAN LARE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELESTINE ALIPUI VAN LARE MD (OWNER)
(281) 450-2040
Entity
Organization
Contact information
Practice address
3611 WALNUT FOREST LN, SPRING, TX 77388-4503
(281) 450-2040
(281) 288-3781
Mailing address
3611 WALNUT FOREST LN, SPRING, TX 77388-4503
(281) 450-2040
(281) 288-3781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097LP
BLUE CROSS BLUE SHIELD
TX
05
—
1751091-01
—
TX
Enumeration date
06/09/2006
Last updated
06/02/2014
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