Individual
HUMBERTO LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8076 EL RIO ST, HOUSTON, TX 77054-4186
(713) 481-3536
(713) 432-0221
Mailing address
PO BOX 421849, HOUSTON, TX 77242-1849
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E6465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220013761
RAILROAD MEDICARE
TX
Enumeration date
06/30/2005
Last updated
03/19/2009
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