Lara Dupre Sudik, FNP-C is a
Nurse Practitioner - Family based in Ganado, Texas. Lara Dupre Sudik is licensed to practice in Texas (license number 1024878) and her current practice location is
910 Huisache St, Ganado, Texas. She can be reached at her office (for appointments etc.) via phone at
(361) 649-4674.
NPI number for Lara Dupre Sudik is 1396336459 and her current mailing address is 910 Huisache St, Ganado, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396336459.
Provider's Profile
Full Name | Lara Dupre Sudik |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 910 Huisache St, Ganado, Texas |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396336459
- Provider Enumeration Date: 02/01/2021
- Last Update Date: 02/01/2021
Medical Identifiers
Medical identifiers for Lara Dupre Sudik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396336459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1024878 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lara Dupre Sudik is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lara Dupre Sudik, FNP-C 910 Huisache St, Ganado, TX 77962-8414 Ph: (361) 649-4674 | Lara Dupre Sudik, FNP-C 910 Huisache St, Ganado, TX 77962-8414 Ph: (361) 649-4674 |
Reviews and Comments