Individual
DR. CARLOS MANRIQUE DE LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
2518 W TRENTON RD, EDINBURG, TX 78539-8070
(956) 661-9000
(956) 686-7833
Mailing address
PO BOX 2706, MCALLEN, TX 78502-2706
(956) 661-9000
(956) 686-7833
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K3794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096608703
—
TX
Enumeration date
02/17/2006
Last updated
04/05/2016
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