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Individual

CATHERINE LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2525 WALLINGWOOD DR STE 800, AUSTIN, TX 78746
(512) 806-0810
(512) 806-0819
Mailing address
2525 WALLINGWOOD DR STE 800, AUSTIN, TX 78746-6930
(512) 806-0810
(512) 806-0819

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
Q0096
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BP10039545
TEXAS MEDICAL BOARD PERMIT
TX
Enumeration date
07/25/2011
Last updated
06/06/2018
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