Individual
RICHARD O LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA/CST
Contact information
Practice address
6442 HILL CREEK DR, SAN ANTONIO, TX 78256-2357
(210) 997-2188
(210) 682-9967
Mailing address
6442 HILL CREEK DR, SAN ANTONIO, TX 78256-2357
(210) 997-2188
(210) 682-9967
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
101961
TX
Other
Enumeration date
09/23/2006
Last updated
01/12/2015
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