MICHAEL DAVID LARA, MD, PA


Address: 10175 Gateway Blvd W, 220, El Paso, TX 79925-7618
Phone: 9153836679

MICHAEL DAVID LARA, MD, PA (NPI# 1467814061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467814061
Entity Type Organization
Organization Name MICHAEL DAVID LARA, MD, PA
Practice Address 10175 Gateway Blvd W
220
El Paso
TX 79925-7618
Mailing Address 1655 Mosswood St
El Paso
TX 79935-3435
Practice Telephone 9153836679
Mailing Telephone 9153836679
Enumeration Date 2016-03-23
Last Update Date 2016-05-11
Authorized Official Name MICHAEL DAVID LARA (PRESIDENT/ OWNER)
Authorized Official Telephone 9153836679
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery L8406 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 10175 GATEWAY BLVD W
220
City EL PASO
State TX
Zip Code 79925-7618

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811994502 Jose J. Monsivais Specialist 10175 Gateway Blvd W, Suite 230, El Paso, TX 79925-7618 2005-07-07
1902435951 Marc Pickard Student in an Organized Health Care Education/Training Program 10175 Gateway Blvd W, El Paso, TX 79925-7618 2020-04-02
1295267508 Louis E. Zuniga, Pt PC Physical Therapist 10175 Gateway Blvd W, El Paso, TX 79925-7618 2017-03-28
1164825089 Blood Optimization Services of El Paso Clinical Medical Laboratory 10175 Gateway Blvd W, Ste 116, El Paso, TX 79925-7618 2014-10-06
1194137497 Alonzo Molinar Clinic/Center 10175 Gateway Blvd W, Suite 210, El Paso, TX 79925-7618 2014-05-21
1992147565 Southwest Plastic Surgery Pa Surgery 10175 Gateway Blvd W, 210, El Paso, TX 79925-7618 2013-07-24
1700178555 West Texas Maxillofacial Surgery Pa Oral & Maxillofacial Surgery 10175 Gateway Blvd W, Suite304, El Paso, TX 79925-7618 2011-05-12
1467743542 Humberto Palladino Md, Pa Plastic Surgery 10175 Gateway Blvd W, 210, El Paso, TX 79925-7618 2011-04-25
1063735835 Solaris Laboratory Services LLC Clinical Medical Laboratory 10175 Gateway Blvd W, Suite 116, El Paso, TX 79925-7618 2010-03-09
1508191636 Francisco J. Agullo, M.d. P.a. Plastic Surgery 10175 Gateway Blvd W, Suite210, El Paso, TX 79925-7618 2009-10-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003434820 Francisco Andres Escobar Dentist 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 2020-07-08
1982259495 Cruz Elvia Corral Assisted Living Facility 10165 Bermuda, El Paso, TX 79925 2019-08-02
1740846179 Sister Sisters In Home Care Services LLC In Home Supportive Care 9327 Sims Drive, Suite F, El Paso, TX 79925 2019-05-10
1245790450 Mario Salinas Student in an Organized Health Care Education/Training Program 10301 Gateway Blvd W, El Paso, Texas 79925, El Paso, TX 79925 2019-03-22
1720559289 Sweet Care Home Care Providers LLC PACE Provider Organization 7917 Sunmount Dr, El Paso, TX 79925 2018-12-10
1083130215 Javier Calzadilla Jr. Behavior Technician 9900 Montana Ave Ste C6, El Paso, TX 79925 2017-08-18
1942721980 Isela Cristina Sanchez Specialist/Technologist 3021 Killarney St., El Paso, TX 79925 2017-06-29
1831629617 Rebekah E Alvarez Behavior Technician 2200 North Yarabrough Suite B, Apt 103, El Paso, TX 79925 2017-06-14
1841646817 Imelda Barbosa Counselor 9455 Viscount 170, El Paso, TX 79925 2016-05-10
1528426491 Salnor, Inc. Clinic/Center 8517 Lockheed Dr., El Paso, TX 79925 2016-02-05
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639735525 Hector Diaz Luna Md Pa Surgery 1601 Brown St, El Paso, TX 79902-4724 2019-05-15
1275944399 Carl David Devemark Surgery 10201 Gateway Blvd W Ste 130, El Paso, TX 79925-7647 2014-05-12
1780959874 Sergey Shimunov Surgery 2204e Joe Battle Blvd, El Paso, TX 79938-4659 2012-03-21
1114245925 Nathaniel Ng Surgery 2000b Transmountain Rd Ste B300, El Paso, TX 79911-3600 2010-05-05
1487818431 Miriam Christing Zolfoghary Md Pa Surgery 3822 Joe Battle, El Paso, TX 79936 2008-07-17
1366630170 Halsted Surgical Association Surgery 10201 Gateway Blvd W Ste 420, El Paso, TX 79925-7647 2007-10-05
1881819035 Jose Olallo Castillo Surgery 5043 Montoya Dr, El Paso, TX 79922-2031 2007-04-14
1750402681 Aleksandr A Reznichenko Surgery 125 W Hague Rd Ste 170, El Paso, TX 79902-5811 2007-04-02
1023143278 El Paso Del Norte Surgical Group, Pa Surgery 10175gateway West Blvd., Suite 220, El Paso, TX 79925-7618 2007-02-21
1447397278 Jose Alfredo Rodriguez Surgery 8900 Viscount Blvd, Ste 242, El Paso, TX 79925 2007-01-31
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Competitor

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City EL PASO
Zip Code 79925

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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