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Marc Lara
NPI 1720569106 · on the registry since 2018 · sole proprietor
Practice
- Address
- 405 N Cates St
Decatur, TX 76234 - Phone
- (940) 393-3410
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas