Minsloff, Lisa Ann
Minsloff, Lisa Ann is an individual health care provider with primary practice located at 2401 S Fm 51 Ste 100 , Decatur TX 76234-3782. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Minsloff, Lisa Ann can be contacted via phone (940) 627-8044.Contact Information
Primary practice address
2401 S Fm 51 Ste 100
Decatur TX 76234-3782
Phone: (940) 627-8044
Fax: (940) 627-8055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Q4211 | Texas |
Profile Details
| NPI number | 1093077539 |
|---|---|
| LBN Legal business name | Minsloff, Lisa Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2012 |
| Last updated | Oct 13th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093077539 | NPPES |
| Tennessee | MEDICAID | PENDING |
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