Carlos Manrique De Lara Mdpa

NPI #1770558447 in Edinburg, Texas

Provider Information

NPI Number: 1770558447
Entity Type: Organization
Organization Name: Carlos Manrique De Lara Mdpa
Primary Specialty: Ophthalmology
Enumeration Date: Feb 17, 2006
Last Updated: Jun 10, 2008

Practice Location

Address: 2518 W TRENTON RD
City: Edinburg
State: Texas
ZIP Code: 78539-8070
Phone: (956) 661-9000

Authorized Official

Name: DR. CARLOS MANRIQUE DE LARA, MD
Title: MEDICAL DIRECTOR
Phone: (956) 661-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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