Individual
MR. JESUS ENRIQUE LIRA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
5711 SPRINGFIELD AVE, STE. B, LAREDO, TX 78041-3282
(956) 712-9988
(956) 791-4888
Mailing address
5711 SPRINGFIELD AVE, STE. B, LAREDO, TX 78041-3282
(956) 712-9988
(956) 791-4888
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82292
TX
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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