LARA DUDEK, MD PA
Medical Practice at 6 St, Austin, TX

License number
Texas M9984
Category
Medical Practice
Type
Ophthalmology
Owner
Name: DR. LARA T DUDEK MD
Title: PHYSICIAN/OWNER
Phone: (512) 326-5900
Address
Address
1109A E 6Th St, Austin, TX 78702
National Provider ID: 1255584421
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LARA DUDEK, MD PA at bizstanding.com

LARA DUDEK MD PA

Mount Sharp, TX  -  Austin, TX

Doing business as:
Lara Dudek MD PA
Registration:
Aug 15, 2008
Addresses:
PO Box 725, Dripping Springs, TX 78620 (Mailing)
PO Box 40999, Austin, TX 78704
175 Blazing Star Dr, Austin, TX 78737
State ID:
0801017950
Business type:
Professional Association
President, Treasurer, Secretary, Director, Member, Vice-President:
Lara T. Dudek (President, Treasurer, Secretary, Director, Member, Vice-President)
Agent:
Lara T Dudek,611 Ter Cyn Dr, Dripping Springs, TX 78620 (Physical)
TIN:
32037748350

Medical Practice licenses in Texas










Other Doctors licenses in Texas