Organization
CELESTINE ALIPUI VAN LARE MD PA
Active
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
Update your record
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