Provider Demographics
NPI:1184697708
Name:LARKIN, ALLYSON C (MD)
Entity type:Individual
Prefix:DR
First Name:ALLYSON
Middle Name:C
Last Name:LARKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1215 SANTA FE ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2338
Mailing Address - Country:US
Mailing Address - Phone:361-884-9900
Mailing Address - Fax:361-884-9903
Practice Address - Street 1:1215 SANTA FE ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2338
Practice Address - Country:US
Practice Address - Phone:361-884-9900
Practice Address - Fax:361-884-9903
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5329207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0094NKOtherBLUE CROSSSHEILD
TX612459Medicare ID - Type Unspecified
H78479Medicare UPIN