SearchTexas225XP0019X

Stacy Larson

NPI 1508643768 · on the registry since 2023 · sole proprietor

Practice

Address
816 Everyday Way
Cibolo, TX 78108
Phone
(210) 538-3812
Clinicians at this address
6

Registry record

Primary taxonomy
225XP0019X
225XP0019X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas