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Individual

ERIC LARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(469) 419-2850
Mailing address
2603 W 12TH ST, DALLAS, TX 75211-2704
(214) 718-1090

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP129990
TX

Other

Enumeration date
02/18/2016
Last updated
02/18/2016
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