Individual
LISA C CARLILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
12174 N MOPAC EXPY, STE. A, AUSTIN, TX 78758-2910
(512) 994-2662
(512) 994-2660
Mailing address
12174 N MOPAC EXPY, STE. A, AUSTIN, TX 78758-2910
(512) 994-2662
(512) 994-2660
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
534320
TX
Other
Enumeration date
04/25/2008
Last updated
03/06/2015
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