Damian G Lara, MD

Family Medicine in Bastrop, TX. Individual provider (NPI-1).

NPI number1124512702

StatusActive

Last updated in NPPESJun 9, 2022

Details

NPI: 1124512702
Entity type: Individual (NPI-1)
Name: Damian G Lara
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jun 18, 2018
Certification date: Jun 9, 2022
Last updated: Jun 9, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	T3503	TX	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

622 W State Highway 71 Ste 102
Bastrop, TX 78602-4234

Phone 512-308-4311

Mailing address

6210 E Hwy 290
Austin, TX 78723-1142

Phone 512-308-4311

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Bastrop, TX

All 27 Family Medicine Physician providers in Bastrop · All 552 providers in Bastrop

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check