Individual
LARISSA PEXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10802 GEMSBUCK LDG, SAN ANTONIO, TX 78245-2702
(425) 903-1405
Mailing address
1701 OAK HILL LN APT 1225, AUSTIN, TX 78744-2240
(425) 903-1405
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8050
TX
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
03/15/2019
Last updated
06/12/2020
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