IndividualActive
Allan Lara, MD
NPI 1093211104 · Pediatric Rehabilitation Medicine Physician · Austin, TX
Provider details
- NPI number
- 1093211104
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- U-9583 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4910 Mueller Blvd Ste 300
Austin, TX 78723-3079
Phone: (512) 628-1893
Approximate (ZIP-level) locationGet directions
Mailing address
4910 Mueller Blvd Ste 300
Austin, TX 78723-3079
Registry dates
- Enumerated
- 2018-04-05
- Last updated
- 2024-07-01
- Certified
- 2024-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.