Individual provider Active NPI

Victor Lara

  • Family Nurse Practitioner
  • Beeville, TX
National Provider Identifier
1306215918
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128959 Issued in TX
Practice address
1211 E Houston St
Beeville, TX 78102-5207
Phone
(361) 358-8982
NPI assigned
Sep 24, 2015
Last updated
Sep 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128959 TX Primary

Addresses

Primary practice location

1211 E Houston St
Beeville, TX 78102-5207

Mailing address

1211 E Houston St
Beeville, TX 78102-5207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170823000118 TX Practitioner - Nurse Practitioner 1951673102 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

302 S Hillside Dr
Wellmed at JJP
Beeville, TX 78102-5333
Phone (361) 358-9912

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128959TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Fruits Medical Clinic PLLC CurrentSince Aug 10, 2017 Accepting new patients
Wellmed Medical Group, PA CurrentSince Nov 1, 2025 Accepting new patients
JJP Family Practice LLC CurrentSince Aug 1, 2022 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Nov 1, 2025 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1211 E Houston St
Beeville, TX 78102
Phone (361) 358-8982

302 S Hillside Dr
Beeville, TX 78102
Phone (361) 358-2392

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Organizations & group practices 5

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

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": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1306215918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 E HOUSTON ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E HOUSTON ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025207",
            "telephone_number": "361-358-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "VICTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

Verify at the official NPI Registry.