Individual
FERNAN F LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 W TERRELL AVE FL 2, FORT WORTH, TX 76104-2820
(817) 820-4906
(817) 820-4815
Mailing address
1300 W TERRELL AVE FL 2, FORT WORTH, TX 76104-2820
(817) 820-4906
(817) 820-4815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E0251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123710909
—
TX
Enumeration date
06/29/2006
Last updated
01/25/2013
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