Organization
LARA DUDEK, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARA T DUDEK MD (PHYSICIAN/OWNER)
(512) 326-5900
Entity
Organization
Contact information
Practice address
1109A E 6TH ST, AUSTIN, TX 78702-3210
(512) 326-5900
(512) 326-5988
Mailing address
PO BOX 40999, AUSTIN, TX 78704-0999
(512) 326-5900
(512) 326-5988
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M9984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740461136
INDIVIDUAL NPI
—
Enumeration date
10/31/2008
Last updated
10/31/2008
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