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NPI Code Detail

MEDICARE: MRS. LISA MICHELLE GUERRA M.A., CCC-A

MEDICARE: MRS. LISA MICHELLE GUERRA M.A., CCC-A
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
1237600000XAudiologist-Hearing Aid Fitter51147TX
2231H00000XAudiologist51147TX

General Provider Information

NPI Number : 1841458486
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA MICHELLE GUERRA M.A., CCC-A
Provider Business Mailing Address
First Line : 10740 N GESSNER RD STE 310
Second Line :
City : HOUSTON
State : TX
Zip : 77064-1240
Country : US
Telephone Number : 281-897-0416
Fax Number :
Provider Business Practice Location Address
First Line : 8230 WALNUT HILL LN STE 714
Second Line :
City : DALLAS
State : TX
Zip : 75231-4425
Country : US
Telephone Number : 214-696-4696
Fax Number : 214-696-4699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2008
Last Update Date : 06/10/2026

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