MEDICARE: LISA J MADDOX RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	724139	TX

General Provider Information

NPI Number	:	1063991321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA J MADDOX RN

Provider Business Mailing Address
First Line	:	410 HOUSTON ST
Second Line	:
City	:	LEVELLAND
State	:	TX
Zip	:	79336-4044
Country	:	US
Telephone Number	:	806-894-7872
Fax Number	:	806-894-1621

Provider Business Practice Location Address
First Line	:	410 HOUSTON ST
Second Line	:
City	:	LEVELLAND
State	:	TX
Zip	:	79336-4044
Country	:	US
Telephone Number	:	806-894-7872
Fax Number	:	806-894-1621

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2018
Last Update Date	:	10/12/2023

Similar Medicare Providers

1699831685 — SOUTH PLAINS COMMUNITY ACTION ASSOCIATION, INC.
Practice Location Address:

410 HOUSTON ST
LEVELLAND, TX
79336-4044

Practice Phone: 806-894-7872
Practice Fax: 806-894-1621

1255497723 — SOUTH PLAINS COMMUNITY ACTION ASSOCIATION, INC.
Practice Location Address:

410 HOUSTON ST
LEVELLAND, TX
79336-4044

Practice Phone: 806-894-7872
Practice Fax: 806-894-1621

1932033800 — JACQUELINE GAONA MSN, APRN
Practice Location Address:

1900 COLLEGE AVE
LEVELLAND, TX
79336-6508

Practice Phone: 806-894-4963
Practice Fax:

1578557898 — DR. JOHN ROBERT SLIDER OD
Practice Location Address:

1000 FM 300
LEVELLAND, TX
79336-6235

Practice Phone: 806-894-7842
Practice Fax: 806-894-3378

1235125006 — LYNWOOD NURSING AND REHABILITATION LP
Practice Location Address:

803 S ALAMO RD
LEVELLAND, TX
79336-5149

Practice Phone: 806-894-2806
Practice Fax: 806-894-2033

1801884846 — HARRY TALMADGE WEAVER JR. MD
Practice Location Address:

1804 COLLEGE AVE
LEVELLAND, TX
79336-6507

Practice Phone: 806-894-3141
Practice Fax:

Directions to “ LISA J MADDOX RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.