Larson, Mark Duane
Larson, Mark Duane is an individual health care provider with primary practice located at 755 N 11Th St Ste P1000 , Beaumont TX 77702-1528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Larson, Mark Duane can be contacted via phone (409) 833-0193.Contact Information
Primary practice address
755 N 11Th St Ste P1000
Beaumont TX 77702-1528
Phone: (409) 833-0193
Fax: (409) 833-3346
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | H8192 | Texas |
Profile Details
NPI number | 1770644767 |
---|---|
LBN Legal business name | Larson, Mark Duane |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2006 |
Last updated | Mar 9th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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