Individual
MR. ATAHUALPA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
7324 SOUTHWEST FREEWAY, SUITE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
(713) 779-9813
Mailing address
7324 SOUTHWEST FREEWAY, SUITE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
(713) 779-9813
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00392
TX
246ZS0410X
Surgical Technologist
09-129
TX
246ZS0410X
Surgical Technologist
SA00392
TX
Other
Enumeration date
07/07/2009
Last updated
02/17/2014
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