Individual
MALLORY ANNE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17218 PRESTON RD STE 2000, DALLAS, TX 75252-4018
(877) 866-7123
Mailing address
3601 SW 160TH AVE STE 250, MIRAMAR, FL 33027-6314
(877) 866-7123
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
S3545
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404654203
—
TX
Enumeration date
04/08/2014
Last updated
09/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us