MEDICARE: MISS LISA QUEENESTER MARONEY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	253J00000X	Foster Care Agency
4	253Z00000X	In Home Supportive Care Agency
5	261QD1600X	Developmental Disabilities Clinic/Center
6	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care

General Provider Information

NPI Number	:	1588801351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LISA QUEENESTER MARONEY

Provider Business Mailing Address
First Line	:	320 AUTUMN PARK
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76140-6524
Country	:	US
Telephone Number	:	817-565-5984
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 AUTUMN PARK
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76140-6524
Country	:	US
Telephone Number	:	817-565-5984
Fax Number	:

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

Provider Enumeration Date	:	01/15/2009
Last Update Date	:	01/15/2009

Similar Medicare Providers

1205136801 — LIVING QUALITY MOMENTS INC.
Practice Location Address:

320 AUTUMN PARK
FORT WORTH, TX
76140-6524

Practice Phone: 817-551-0559
Practice Fax: 817-551-0668

1457214066 — ESSIE'S LOVING TOUCH
Practice Location Address:

1660 S UNIVERSITY DR
FORT WORTH, TX
76107-6524

Practice Phone: 954-520-6697
Practice Fax:

1205298528 — ANGELICA ESTRADA NP
Practice Location Address:

3308 DEEN RD
FORT WORTH, TX
76106-6524

Practice Phone: 817-702-1100
Practice Fax:

1578918025 — SUNITA GHIMIRE F.N.P
Practice Location Address:

3308 DEEN RD
FORT WORTH, TX
76106-6524

Practice Phone: 817-702-1100
Practice Fax:

1851843072 — REBECCA L COOK
Practice Location Address:

1660 S UNIVERSITY DR # 1083
FORT WORTH, TX
76107-6524

Practice Phone: 424-259-1761
Practice Fax:

1447745104 — VICTORIA FLOREZ PA
Practice Location Address:

3308 DEEN RD
FORT WORTH, TX
76106-6524

Practice Phone: 817-702-1100
Practice Fax: 817-702-7147

Directions to “ MISS LISA QUEENESTER MARONEY ” 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 © 2007-2025 (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.