Lisara Diagnostics in San Antonio - Specialist
Lisara Diagnostics - NPI 1215947635
Lisara Diagnostics is a Specialist in San Antonio, Texas. Lisara Diagnostics practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lisara Diagnostics is 1215947635. The last update date is 2020-08-22.
Lisara Diagnostics's current location address is 4319 Medical Dr # 131-113, San Antonio, Texas. You can contact this provider via phone number 2106143003 and fax number 2106927898. The mailing address for Lisara Diagnostics is 4319 Medical Dr # 131-113, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lisara Diagnostics |
|---|---|
| Address | 4319 Medical Dr # 131-113, San Antonio, Texas |
| Phone Number | 2106143003 |
| Fax Number | 2106927898 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Quintanilla Ann Lisa |
| Telephone Number | 2106143003 |
NPI Number Detail
| NPI Number | 1215947635 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4319 Medical Dr # 131-113 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782293381 |
| Phone Number | 2106143003 |
| Fax Number | 2106927898 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | L2885 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3553429 | TX | AETNA ID NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Lisara Diagnostics by the Centers for Medicare & Medicaid Services?
The Lisara Diagnostics has been issued the NPI (National Provider Identifier) 1215947635. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lisara Diagnostics is geographically located?
The Lisara Diagnostics is physically situated at the following location: 4319 Medical Dr # 131-113, San Antonio, TX, 782293381.
What is Lisara Diagnostics's area of expertise and its corresponding taxonomy classification?
The Lisara Diagnostics's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When was the Lisara Diagnostics's 1215947635 issued?
The Lisara Diagnostics's 1215947635 was issued on 2006-08-08.
As of what date were the details related to Lisara Diagnostics most recently updated or revised?
The information pertaining to Lisara Diagnostics, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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