Rengifo, Lisa A

Rengifo, Lisa A is an individual health care provider with primary practice located at 125 Medical Park Ln Ste C , Huntsville TX 77340-4957. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rengifo, Lisa A can be contacted via phone (936) 291-3219.

Contact Information

Primary practice address
125 Medical Park Ln Ste C Huntsville TX 77340-4957
Phone: (936) 291-3219
Fax: (936) 291-7206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1124173 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1240 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP7874 Arizona

Profile Details

NPI number 1144507146
LBN Legal business name Rengifo, Lisa A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2011
Last updated Apr 1st, 2024 - about 7 months 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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