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NPI Code Detail

MEDICARE: MS. LISA R. ATTALES ENP

MEDICARE: MS. LISA R. ATTALES ENP
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
1363L00000XNurse PractitionerAP111211TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18N6092OTHERTXBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
37879743OTHERTXAETNA

General Provider Information

NPI Number : 1548326853
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA R. ATTALES ENP
Provider Business Mailing Address
First Line : 7101 W GRAND PKWY S STE 180
Second Line :
City : RICHMOND
State : TX
Zip : 77407-8656
Country : US
Telephone Number : 281-783-8162
Fax Number :
Provider Business Practice Location Address
First Line : 8720 HIGHWAY 6 STE 400
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-7108
Country : US
Telephone Number : 832-342-9204
Fax Number : 281-895-3083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 05/15/2025

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Directions to “ MS. LISA R. ATTALES ENP” Practice Location

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