Pavageau, Lara
Pavageau, Lara is an sole proprietor health care provider with primary practice located at 3001 George Bush Hwy Ste 225 , Richardson TX 75082-3569. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Pavageau, Lara can be contacted via phone (214) 343-6663.Contact Information
Primary practice address
3001 George Bush Hwy Ste 225
Richardson TX 75082-3569
Phone: (214) 343-6663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | T0599 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | T0599 | Texas |
Profile Details
| NPI number | 1558749390 |
|---|---|
| LBN Legal business name | Pavageau, Lara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2015 |
| Last updated | Apr 19th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558749390 | NPPES |
| Texas | MEDICAID | 428205501 |
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