Elias F. Lara Jr.
MOUNT MORIAH FAMILY MEDICINE, PLLC


Address: 7311 S Hulen St, Fort Worth, TX 76133-6616
Phone: 8173493366

Elias F. Lara Jr. (NPI# 1821309675, PAC ID# 1557534534) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1821309675
PAC ID by PECOS 1557534534
Professional Enrollment ID I20111108000591
Full Name Elias F. Lara Jr.
Organization Legal Name MOUNT MORIAH FAMILY MEDICINE, PLLC
Address 7311 S Hulen St
Fort Worth
TX 76133-6616
Phone Number 8173493366
Gender M
Medical School UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Graduation Year 2007
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 4486827466
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
7311 S Hulen St, Fort Worth, TX 76133-6616 8173493366 MOUNT MORIAH FAMILY MEDICINE, PLLC

Organization Information

Organization Legal Name MOUNT MORIAH FAMILY MEDICINE, PLLC
Physicians 1

Office Location

Street Address 7311 S HULEN ST
City FORT WORTH
State TX
Zip 76133-6616

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Competitor

Search similar physicians

City FORT WORTH
Zip Code 76133
Specialty FAMILY PRACTICE
City + Specialty FORT WORTH + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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