Madden, Lisa M

Madden, Lisa M is an individual health care provider with primary practice located at 4410 Medical Dr Ste 550 , San Antonio TX 78229-3755. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Madden, Lisa M can be contacted via phone (210) 575-3817.

Contact Information

Primary practice address
4410 Medical Dr Ste 550 San Antonio TX 78229-3755
Phone: (210) 575-3817
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Q9189 Texas
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X Q9189 Texas

Profile Details

NPI number 1861526048
LBN Legal business name Madden, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jan 3rd, 2018 - about 8 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 1861526048 NPPES
Texas MEDICAID 361904101
Texas Other 8GB634
Texas MEDICAID 361904102
Texas Other MEDICARE

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