Individual
JAVIER LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
139 GASKIN DR, SAN ANTONIO, TX 78212-1035
(210) 667-6889
Mailing address
139 GASKIN DR, SAN ANTONIO, TX 78212-1035
(210) 667-6889
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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