| Organization Name: | LISA A. KING M.D,P.A. |
| NPI Number: | 1033204060 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BEVERLY ANN BASS (BUSINESS MANAGER) |
| Mailing Address: | 950 Scotland Dr Desoto |
| State: | TX US |
| Postal Code: | 751152057 |
| Phone Number: | 9727099777 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 04/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VE0102X |
| License Number: | J8015 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Reproductive Endocrinology |
| Taxonomy Definition: | An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |