Mark D Larson (NPI# 1770644767, PAC ID# 9537264635) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1770644767 |
| PAC ID by PECOS | 9537264635 |
| Professional Enrollment ID | I20090605000027 |
| Full Name | Mark D Larson |
| Address |
950 N 11th St Plastic Surgery Associates Beaumont TX 77702-1203 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450034 | CHRISTUS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 755 N 11th St, P1000 Plastic Surgery Associates, Beaumont, TX 77702-1528 | ||
| 950 N 11th St, Plastic Surgery Associates, Beaumont, TX 77702-1203 |
| Street Address |
950 N 11TH ST PLASTIC SURGERY ASSOCIATES |
| City | BEAUMONT |
| State | TX |
| Zip | 77702-1203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Mensah | Psychiatry | 990 Ih 10, Suite 140, Beaumont, TX 77702 | |
| Sharad B Kulkarni | Psychiatry | 2825 Ih 10, Suite 100, Beaumont, TX 77702-1015 | |
| Kellilyn Worley | Registered Dietitian Or Nutrition Professional | 990 Interstate 10 N 215, Beaumont, TX 77702-1051 | |
| Kelli W Vacek | Registered Dietitian Or Nutrition Professional | 990 Ih 10, Suite 215, Beaumont, TX 77702-1051 | |
| Andrea Poole | Registered Dietitian Or Nutrition Professional | 990 Interstate 10 N 215, Beaumont, TX 77702-1051 | |
| Michael E. Bagwell | Certified Registered Nurse Anesthetist (crna) | Endo Sedation LLC | 950 N 14th St, Suite 100, Beaumont, TX 77702-1112 |
| Regina A Robinson | Nurse Practitioner | Gastroenterology and Transplant Hepatology International Pa | 950 N 14th St, Beaumont, TX 77702-1112 |
| Henry Earl West | Obstetrics/gynecology | Maxie C Sprott II Md Pa | 2965 Harrison St, Suite 313, Beaumont, TX 77702-1113 |
| Marquita D Anderson | Obstetrics/gynecology | Maxie C Sprott II Md Pa | 2965 Harrison St, Suite 313, Beaumont, TX 77702-1113 |
| Fernando E Silva | Neurosurgery | Golden Triangle Neurocare LLP | 2965 Harrison St, Suite 111, Beaumont, TX 77702-1148 |
| Find all physicians in zip 77702 | |||
| City | BEAUMONT |
| Zip Code | 77702 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | BEAUMONT + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Mark D Larson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.