Tshuma, Lisa

Tshuma, Lisa is an individual health care provider with primary practice located at 321 W Southlake Blvd Suite #180, Southlake TX 76092-6188. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tshuma, Lisa can be contacted via phone (817) 416-2905.

Contact Information

Primary practice address
321 W Southlake Blvd Suite #180 Southlake TX 76092-6188
Phone: (817) 416-2905
Fax: (817) 416-7284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-01600 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA07202 Texas

Profile Details

NPI number 1134373491
LBN Legal business name Tshuma, Lisa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2008
Last updated Sep 5th, 2013 - about 13 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 1134373491 NPPES
Texas Other 886N95 BCBS
Texas MEDICAID 308009501 BCBS

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