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General NPI Number Information
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NPI Number | 1053872481
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Entity Type | Individual
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Provider Name | DAVID LALA PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 5330 OVERPASS RD STE 110
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City | BUDA
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State | TX
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Zip | 78610-2300
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Country | US
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Telephone | 737-999-6200
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Fax | 737-999-6201
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 254-724-2111
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0110006706
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | PA14070
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA14070
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License Number State | TX
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