MEDICARE: JUAN LARA NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1227843	TX

General Provider Information

NPI Number	:	1811841299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN LARA NP

Provider Business Mailing Address
First Line	:	3100 TIMMONS LN STE 265
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5964
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 TIMMONS LN STE 265
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5964
Country	:	US
Telephone Number	:	877-296-3840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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Directions to “ JUAN LARA NP” Practice Location

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