Individual
LISA GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-0001
(214) 648-6400
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(469) 291-3369
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME144492
FL
207L00000X
Anesthesiology Physician
Primary
T0220
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106777400
—
FL
Enumeration date
05/31/2016
Last updated
09/09/2021
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