Garrison, Lisa M

Garrison, Lisa M is an individual health care provider with primary practice located at 4410 Medical Dr Ste 540 , San Antonio TX 78229-3755. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Garrison, Lisa M can be contacted via phone (210) 575-6240.

Contact Information

Primary practice address
4410 Medical Dr Ste 540 San Antonio TX 78229-3755
Phone: (210) 575-6240
Fax: (210) 575-6280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA04146 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04146 Texas

Profile Details

NPI number 1922042472
LBN Legal business name Garrison, Lisa M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 20th, 2022 - about 4 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 1922042472 NPPES
Texas MEDICAID 180506103
Texas Other 630419YLLW
Texas Other 8JG175

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