| Carlos Manrique De Lara Mdpa | |
|
2518 W Trenton Rd, Edinburg, TX 78539-8070 | |
| (956) 661-9000 | |
| (956) 686-7833 |
| Full Name | Carlos Manrique De Lara Mdpa |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 2518 W Trenton Rd, Edinburg, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770558447 | NPI | - | NPPES |
| 173356002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Carlos Manrique De Lara |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699740324 PECOS PAC ID: 7719960897 Enrollment ID: I20040614000199 |
| Provider Name | William Justus Head |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508802877 PECOS PAC ID: 8426029265 Enrollment ID: I20040805000504 |
| Provider Name | Terrisa J Drake |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134275761 PECOS PAC ID: 2668413410 Enrollment ID: I20050521000088 |
| Provider Name | Ida Reed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932284858 PECOS PAC ID: 1951479997 Enrollment ID: I20081004000032 |
| Provider Name | Christopher Lee Trevino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679914725 PECOS PAC ID: 9830323922 Enrollment ID: I20131003000060 |
| Provider Name | Nicholas R Antoni |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548390727 PECOS PAC ID: 7810232501 Enrollment ID: I20181228000506 |
| Provider Name | Arianne Pink |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245710581 PECOS PAC ID: 1153667647 Enrollment ID: I20190103001510 |
| Provider Name | Raj V Bhakta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871147991 PECOS PAC ID: 5193057966 Enrollment ID: I20191028001922 |
| Provider Name | Melissa A Ernst Brenot |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245266998 PECOS PAC ID: 6103806450 Enrollment ID: I20220420000615 |
| Provider Name | Alfredo Trejo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932620382 PECOS PAC ID: 8123394392 Enrollment ID: I20240410002754 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Manrique De Lara Mdpa 2518 W Trenton Rd, Edinburg, TX 78539-8070 Ph: (956) 661-9000 | Carlos Manrique De Lara Mdpa 2518 W Trenton Rd, Edinburg, TX 78539-8070 Ph: (956) 661-9000 |