Lara, Michael David
Lara, Michael David is an individual health care provider with primary practice located at 1655 Mosswood , El Paso TX 79935-3435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lara, Michael David can be contacted via phone (915) 591-7700.Contact Information
Primary practice address
1655 Mosswood
El Paso TX 79935-3435
Phone: (915) 591-7700
Fax: (915) 591-3170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L8406 | Texas |
Profile Details
| NPI number | 1598721490 |
|---|---|
| LBN Legal business name | Lara, Michael David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Nov 27th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598721490 | NPPES |
| Texas | MEDICAID | 168612301 |
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