Mijares, Lisa Diane

Mijares, Lisa Diane is an individual health care provider with primary practice located at 6844 Harris Parkway , Fort Worth TX 76132. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mijares, Lisa Diane can be contacted via phone (817) 263-0007.

Contact Information

Primary practice address
6844 Harris Parkway Fort Worth TX 76132
Phone: (817) 263-0007
Fax: (817) 263-1118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP127690 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP127690 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP127690 Texas

Profile Details

NPI number 1134513401
LBN Legal business name Mijares, Lisa Diane
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2015
Last updated Jun 30th, 2023 - 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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