Roten, Lisa M

Roten, Lisa M is an individual health care provider with primary practice located at 1500 Cooper St , Fort Worth TX 76104-2710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Roten, Lisa M can be contacted via phone (682) 885-2140.

Contact Information

Primary practice address
1500 Cooper St Fort Worth TX 76104-2710
Fax: (817) 332-2506
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X K8462 Texas

Profile Details

NPI number 1750489993
LBN Legal business name Roten, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 9th, 2021 - about 3 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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