Plastic Surgery Associates LLP

Primary specialty

SpecialistTaxonomy code 174400000X

License

H8192 Issued in TX

Legal business name

PLASTIC SURGERY ASSOCIATES LLP

Practice address

950 N 11TH St
Beaumont, TX 77702-1203

Phone

(409) 833-0193

Fax

(409) 833-3346

NPI assigned

Mar 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark D Larson, MDNPI 1770644767

Title

Owner

Phone

(409) 833-0193

Specialties & licenses 1

Addresses

Other names 1

• Dr Mark D Larson Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Duane Larson, MD

  • Plastic Surgery Physician
  • Beaumont, TX
  • NPI 1770644767
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1316075013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N 11TH STREET",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021203",
            "telephone_number": "409-833-0193",
            "fax_number": "409-833-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021203",
            "telephone_number": "409-833-0193",
            "fax_number": "409-833-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-833-0193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H8192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Mark D Larson",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ronald Andre Pitt, M.D.
• Barry Andre Pittman
• Haley Breann Pitts
• Roseller Reyes Pizarro, RN
• Richard A. Pizzini, D.C., P.A.
• Platinum Neurodiagnostics
• Heather Ann Plessala, RN, FNP-C
• Debra Pritchett Plummer, CNA
• Jessica Elaine Plunkett, FNP-C
• PM Management - Golden Triangle NC I LLC

• Specialist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.