David Meium Larson, PNP | |
2200 Bergquist Dr, Wilford Hall Medical Center, 8c/mmnp, Lackland A F B, TX 78236-9907 | |
(210) 292-6248 | |
(210) 292-7902 |
Full Name | David Meium Larson |
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Gender | Male |
Speciality | Nurse Practitioner - Pediatrics |
Location | 2200 Bergquist Dr, Lackland A F B, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578541801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 708931 (Texas) | Primary |
Entity Name | Baylor College Of Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285079764 PECOS PAC ID: 0648405738 Enrollment ID: O20131025000939 |
Mailing Address | Practice Location Address |
---|---|
David Meium Larson, PNP Po Box 27585, Valley Hi Post Office, San Antonio, TX 78227-0585 Ph: (210) 292-6248 | David Meium Larson, PNP 2200 Bergquist Dr, Wilford Hall Medical Center, 8c/mmnp, Lackland A F B, TX 78236-9907 Ph: (210) 292-6248 |
Karen Haveman, MSN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr Ste 1, Attn: Ob/gyn Clnic/ Sgobg, Lackland A F B, TX 78236 Phone: 210-292-6452 | |
Ms. Sara Ellen Kennedy, RNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Attn: Credentials (cms), Lackland A F B, TX 78236 Phone: 210-292-6115 Fax: 210-292-6158 | |
Ms. Corinne Ann Ricci, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Ste. #1, Lackland A F B, TX 78236 Phone: 210-292-0340 Fax: 210-292-6158 | |
Kathleen R Rodriguez, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236 Phone: 210-916-4549 | |
Ms. Felicia Lauten, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236 Phone: 210-292-0340 | |
Patti Dale, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Attn: Credentials (cmc), Lackland A F B, TX 78236 Phone: 210-292-6152 | |
Mrs. Cynthia Rayson Lightner, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr Ste 1, Attn: Credentials (sghc), Lackland A F B, TX 78236 Phone: 210-292-6707 Fax: 210-292-7964 |