Elias Flores Lara Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N3814 Issued in TX

Practice address

151 Walton Way Ste 107
Midlothian, TX 76065-8010

Phone

(469) 672-2100

Fax

(469) 672-2101

NPI assigned

Jun 27, 2010

Last updated

Dec 14, 2020By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Mount Moriah Family Medicine, PLLC

  • Family Medicine Physician
  • Midlothian, TX
  • NPI 1639487440
  Authorized official Same address or phone

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

{
    "created_epoch": "1277596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1821309675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 TANGLEWOOD DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637696",
            "telephone_number": "817-473-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WALTON WAY STE 107",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760658010",
            "telephone_number": "469-672-2100",
            "fax_number": "469-672-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "ELIAS",
        "middle_name": "FLORES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-27",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355643304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1H3426",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kroger Texas L P (Kroger Pharmacy #596)
• Karen Yeh Kwan, MD
• Taylor Rebekah Landon
• Allison Lang, DC
• Cora Lansdowne, MME, MT-BC
• Emily Larsen, M.S. CCC-SLP
• Trang Le, PHARM D.
• Charles Raymond Leach, MD
• Leanonme Group LLC (Leanonme Medical Clinic)
• Taylor Dean Leavitt, MD

• Family Medicine Physician in Midlothian, TX
• Providers in Midlothian, 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 Dec 14, 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.