Lisenby, Theresa Rae
Lisenby, Theresa Rae is an individual health care provider with primary practice located at 7471 Fm 3094 , Scurry TX 75158-4915. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Nursing Service Providers / Medical-Surgical is her primary health care specialty. Lisenby, Theresa Rae can be contacted via phone (972) 452-3337.Contact Information
Primary practice address
7471 Fm 3094
Scurry TX 75158-4915
Phone: (972) 452-3337
Fax: (972) 452-3331
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Medical-Surgical | 163WM0705X | 572628 | Texas |
Other Service Providers / Specialist | 174400000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist | 225500000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist | 225800000X | ||
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1073790358 |
---|---|
LBN Legal business name | Lisenby, Theresa Rae |
Credentials | RN,CEO, INSTRUCTOR |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 29th, 2008 |
Last updated | Jan 29th, 2008 - about 16 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.
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