Individual
MS. LISA R. BRAZIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
4211 VALEDON LN, HOUSTON, TX 77014-1839
(210) 334-9575
Mailing address
911 S HACKBERRY, SAN ANTONIO, TX 78210-1929
(210) 532-4727
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
07605
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001002645
PROVIDER
TX
Enumeration date
12/15/2006
Last updated
07/08/2007
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