Individual
ALLAN LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4910 MUELLER BLVD STE 300, AUSTIN, TX 78723-3079
(512) 628-1893
Mailing address
4910 MUELLER BLVD STE 300, AUSTIN, TX 78723-3079
(512) 628-1893
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
U-9583
TX
Other
Enumeration date
04/05/2018
Last updated
07/01/2024
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