Jerome P Lisk is a Neurology in Denton, Texas. Jerome P Lisk practices all healthcare services and medical treatments related to Neurology. The NPI Number for Jerome P Lisk is 1821036500. The last update date is 2021-01-27.
Jerome P Lisk's current location address is 3120 Medpark Dr Ste 100, Denton, Texas. You can contact this provider via phone number 9403831770 and fax number 8773191848. The mailing address for Jerome P Lisk is 3120 Medpark Dr Ste 100, Denton, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome P Lisk |
|---|---|
| Address | 3120 Medpark Dr Ste 100, Denton, Texas |
| Phone Number | 9403831770 |
| Fax Number | 8773191848 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1821036500 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2021-01-27 |
Provider Mailing Address Detail
| Address | 3120 Medpark Dr Ste 100 |
|---|---|
| City | Denton |
| State | Texas (TX) |
| Post Code | 762086982 |
| Phone Number | 9403831770 |
| Fax Number | 8773191848 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 2004029825 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 366511901 | TX | -- | |
| P01773741 | TX | RAIL ROAD MEDICARE | |
| 207238106 | MO | -- | |
| 193247 | BLUE CROSS/BLUE SHIELD | ||
| P00890011 | CA | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the Jerome P Lisk's 1821036500?
The Jerome P Lisk's NPI (National Provider Identifier) Number is 1821036500. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jerome P Lisk located?
The Jerome P Lisk is located at 3120 Medpark Dr Ste 100, Denton, TX 762086982.
What is Jerome P Lisk's area of expertise and its corresponding taxonomy classification?
The Jerome P Lisk's field of specialization is Neurology, and it falls under the taxonomy code 2084N0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Jerome P Lisk receive its 1821036500 assignment from the Centers for Medicare & Medicaid Services?
The Jerome P Lisk was assigned its 1821036500 on 2006-06-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jerome P Lisk's information last updated?
The Jerome P Lisk's information was last updated on 2021-01-27.
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