DAVID MEIUM LARSON PNP NPI 1578541801

NPI Information

  • NPI: 1578541801
  • Provider Name: DAVID MEIUM LARSON, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2200 BERGQUIST DR
    WILFORD HALL MEDICAL CENTER, 8C/MMNP
    LACKLAND A F B, TX
    ZIP 78236
  • Phone: (210) 292-6248

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NPI Details

David Meium Larson, PNP is a pediatrics nurse practitioner in Lackland A F B, TX. David Meium Larson, PNP NPI is 1578541801. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2200 BERGQUIST DR
WILFORD HALL MEDICAL CENTER, 8C/MMNP
LACKLAND A F B, TX
ZIP 78236-907
Phone: (210) 292-6248
Fax: (210) 292-7902

The NPI 1578541801 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/6/2006 and was last updated on 5/6/2016.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics708931TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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