Lara Longo Gaines, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K1241 Issued in TX

Practice address

8800 Katy Freeway
Suite 103
Houston, TX 77024

Phone

(713) 932-6488

Fax

(713) 513-5276

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bunker Hill Urgent Care PLLC Dba Entrust Immediate Care

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1043545940
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1336168947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 RIVERVIEW WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77057",
            "telephone_number": "713-932-6488",
            "fax_number": "713-513-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 KATY FREEWAY",
            "address_2": "SUITE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-932-6488",
            "fax_number": "713-513-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "LARA",
        "middle_name": "LONGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "K1241",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clercy Gaines
• Drue Ellen Gaines, LCSW
• Georgia Gaines, RN
• Jayla Gaines
• Jessica Michiko Gaines, DNP, CRNA
• Matthew Austin Gaines
• Melissa Gaines, LCSW
• Sheldon Lawrence Gaines, MD
• Victoria Michelle Nunez Gaines, APRN, FNP-C
• Simone Denise Gainey, DDS

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.