Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerry L. Laster, MD

Individual provider Surgery Physician · NPI 1619994423

Dr. Jerry L. Laster, MD is a Surgery Physician in Dallas, Texas. Licensed in Texas and Utah. Registered with an NPI since 2006.

Licensed in
TX, UT
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17218 Preston Rd Ste 2000
Dallas, TX 75252-4018
Phone: (877) 866-7123
Fax: (877) 284-8933
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G8234 (TX)
Surgery Physician Taxonomy 208600000X · Licence G8234 (TX)
General Practice Physician Taxonomy 208D00000X · Licence G8234 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence G8234 (UT)

Record details

NPI number1619994423
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2006
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing addressPo Box 742712, Atlanta, GA 30374-2712

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