Individual
GREGORY PAUL LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13525 CENTERBROOK STE 104, UNIVERSAL CITY, TX 78148-2734
(210) 375-3318
(210) 257-6931
Mailing address
13525 CENTERBROOK STE 104, UNIVERSAL CITY, TX 78148-2734
(210) 375-3318
(210) 257-6931
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
30491
TX
Other
Enumeration date
07/03/2017
Last updated
08/13/2020
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