DR. ALICIA HENRY LARSEN MD NPI 1962660944

NPI Information

DR. Alicia Henry Larsen, MD is an obstetrics gynecology in Fort Worth, TX with 17 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Alicia Henry Larsen, MD NPI is 1962660944. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1250 8TH AVE
SUITE 320
FORT WORTH, TX
ZIP 76104-139
Phone: (817) 924-2111
Fax: (817) 546-3980

The NPI 1962660944 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 2/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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