Individual
DR. LARA CHARLES DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5900
(210) 614-0180
(210) 615-7170
Mailing address
8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5900
(210) 614-0180
(210) 615-7170
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
29025
SC
207P00000X
Emergency Medicine Physician
Primary
N2055
TX
Other
Enumeration date
03/19/2007
Last updated
03/09/2011
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