Individual
DR. JOHN W LARGEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1020 HOLCOMBE BLVD, STE 1304, HOUSTON, TX 77030-2210
(713) 799-2818
(713) 790-1454
Mailing address
1020 HOLCOMBE BLVD, STE 1304, HOUSTON, TX 77030-2210
(713) 799-2818
(713) 790-1454
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
22321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5194361
AETNA PPO PRODUCTS
—
01
—
86691A
BCBS
TX
Enumeration date
08/24/2005
Last updated
08/28/2007
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