Longoria, Lisa Dolores

Longoria, Lisa Dolores is an individual health care provider with primary practice located at 505 Angelita Dr Suite 18 & 19, Weslaco TX 78596-4331. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Longoria, Lisa Dolores can be contacted via phone (956) 447-3852.

Contact Information

Primary practice address
505 Angelita Dr Suite 18 & 19 Weslaco TX 78596-4331
Phone: (956) 447-3852
Fax: (956) 969-1251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA04548 Texas

Profile Details

NPI number 1487876496
LBN Legal business name Longoria, Lisa Dolores
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated May 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487876496 NPPES
Texas Other PA04548 STATE LICENSE

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