Larson, Paula R
Larson, Paula R is an individual health care provider with primary practice located at 4085 De Zavala Rd Suite 200, Shavano Park TX 78249-2084. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Larson, Paula R can be contacted via phone (210) 558-6288.Contact Information
Primary practice address
4085 De Zavala Rd Suite 200
Shavano Park TX 78249-2084
Phone: (210) 558-6288
Fax: (210) 558-6289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | J0568 | Texas |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | J0568 | Texas |
Profile Details
| NPI number | 1902846033 |
|---|---|
| LBN Legal business name | Larson, Paula R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Mar 26th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902846033 | NPPES |
| Texas | MEDICAID | 042922701 |
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