Manrique De Lara, Carlos

Manrique De Lara, Carlos is an sole proprietor health care provider with primary practice located at 2518 W Trenton Rd , Edinburg TX 78539-8070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Manrique De Lara, Carlos can be contacted via phone (956) 661-9000.

Contact Information

Primary practice address
2518 W Trenton Rd Edinburg TX 78539-8070
Fax: (956) 686-7833
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X K3794 Texas

Profile Details

NPI number 1699740324
LBN Legal business name Manrique De Lara, Carlos
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Apr 5th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699740324 NPPES
Texas MEDICAID 096608703

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