Most Relevant Information
Provider Data
| NPI Number: | 1003275025 |
| Provider Name: | ERIC LARA CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | AP129990 |
Most Important Dates
| Enumeration Date: | 02/18/2016 |
| Last Updated: | 02/18/2016 |
Provider Practice Location
5200 HARRY HINES BLVD
DALLAS
TX
752357709
Practice Location Phone/Fax
| Phone: | 4694192850 |
| Fax: |
Provider Mailing Location
2603 W 12TH ST
DALLAS
TX
752112704
Provider Mailing Phone/Fax
| Phone: | 2147181090 |
| Fax: |