Individual provider Active NPI

Mariam Molara Laro, MD

  • Family Medicine Physician
  • Crowley, TX
National Provider Identifier
1033746367
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V2133 Issued in TX
Practice address
921 E FM 1187 Ste a
Crowley, TX 76036-4364
Phone
(682) 250-5700
Fax
(682) 250-5705
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X V2133 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

921 E FM 1187 Ste a
Crowley, TX 76036-4364

Mailing address

921 E FM 1187 Ste a
Crowley, TX 76036-4364
Phone (682) 250-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230913003027 GA Practitioner - Family Practice 7517379324 Reassigns benefits to 1 organization
I20251030004562 TX Practitioner - Family Practice 7517379324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Hospitals IncGroup PAC ID 4284797580, 27 clinicians

Practice addresses (Care Compare)

233 N Houston Rd
Suite 140a
Warner Robins, GA 31093-3023
Phone (478) 975-6720

Hospital & facility affiliations

  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
V2133TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
D&J Grace Team LLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Houston Hospitals Inc CurrentSince Sep 6, 2023 Accepting new patients
Houston Hospitals Inc CurrentSince Sep 6, 2023 Accepting new patients

Locations

1118 GA Highway 96
Kathleen, GA 31047
Phone (478) 922-4281

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

233 N Houston Rd
Ste 140A
Warner Robins, GA 31093
Phone (478) 923-2843

921 FM 1187 E
Ste A
Crowley, TX 76036
Phone (817) 297-2000

6251 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-5700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1033746367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E FM 1187 STE A",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364364",
            "telephone_number": "682-250-5700",
            "fax_number": "682-250-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E FM 1187 STE A",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364364",
            "telephone_number": "682-250-5700",
            "fax_number": "682-250-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARO",
        "first_name": "MARIAM",
        "middle_name": "MOLARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V2133",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, TX

Sources for this page

Verify at the official NPI Registry.