Individual
MARK DUANE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 N 11TH ST STE P1000, BEAUMONT, TX 77702-1528
(409) 833-0193
(409) 833-3346
Mailing address
755 N 11TH ST STE P1000, BEAUMONT, TX 77702-1528
(409) 833-0193
(409) 833-3346
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
H8192
TX
Other
Enumeration date
12/13/2006
Last updated
03/09/2020
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