Stephen M Larson, DMD is a
Dentist - General Practice physician based in Houston, Texas. Stephen M Larson is licensed to practice in Texas (license number 11353) and his current practice location is 6411 Fannin St, Houston, Texas. He can be reached at his office (for appointments etc.) via phone at
(713) 500-6200.
NPI number for Stephen M Larson is 1003838459 and his current mailing address is Po Box 301173, Dallas, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003838459.
Physician's Profile
| Full Name | Stephen M Larson |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 6411 Fannin St, Houston, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003838459
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 08/09/2016
Medical Identifiers
Medical identifiers for Stephen M Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003838459 | NPI | - | NPPES |
| 8X6137 | Other | TX | BCBS |
| 102216202 | Medicaid | TX | |
| 84214F | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 11353 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | 11353 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephen M Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stephen M Larson, DMD
Po Box 301173,
Dallas, TX 75303-1173
Ph: (713) 500-3500 | Stephen M Larson, DMD
6411 Fannin St,
Houston, TX 77030-1501
Ph: (713) 500-6200 |
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