Gregory Paul Larsen, DPM
Podiatrist, Foot & Ankle Surgery in Universal City, TX. Individual provider (NPI-1).
NPI number1356862015
StatusActive
Last updated in NPPESAug 13, 2020
Details
- NPI
- 1356862015
- Entity type
- Individual (NPI-1)
- Name
- Gregory Paul Larsen
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2017
- Certification date
- Aug 13, 2020
- Last updated
- Aug 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 30491 | TX | Yes |
Practice location
13525 Centerbrook Ste 104Universal City, TX 78148-2734
Phone 210-375-3318 · Fax 210-257-6931
Mailing address
13525 Centerbrook Ste 104Universal City, TX 78148-2734
Phone 210-375-3318 · Fax 210-257-6931
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