RICHARD ROLAND LARES

SAN ANTONIO, TX
NPI1114455110
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date2017-06-02
Last Update Date2017-06-02
Business Address
Mr. RICHARD ROLAND LARES SA-C
11212 STATE HIGHWAY 151
SAN ANTONIO, TX 78251-4498
Phone number: 210-703-8000
Mailing Address
Mr. RICHARD ROLAND LARES SA-C
11239 BALLARD PEAK
SAN ANTONIO, TX 78254-5495
Phone number: 210-240-4373
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