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Individual

MRS. MARISSA N LARGOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4499 MEDICAL DRIVE, SUITE 191, SAN ANTONIO, TX 78229-3774
(210) 692-0404
(210) 692-9202
Mailing address
4499 MEDICAL DR STE 191, SAN ANTONIO, TX 78229-3774
(210) 692-0831
(210) 692-9202

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L0366
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140805601
TX
Enumeration date
09/14/2006
Last updated
05/10/2022
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