Organization Name: | LISA A MAHLER ARNP PLLC |
NPI Number: | 1497945984 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA ANN MAHLER (OWNER/PRESIDENT) |
Mailing Address: | 112 1/2 E Texas Wheeler |
State: | TX US |
Postal Code: | 79096 |
Phone Number: | 8068260170 |
Fax Number: | 8068260171 |
NPI Enumeration Date: | 07/31/2007 |
NPI Last Update Date: | 01/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 572707 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |