Individual
LISA DEGARMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
Mailing address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
717207
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP119349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063727485
BLUE CROSS BLUE SHIELD
TX
05
—
217937601
—
TX
01
—
217937602
MEDICAID CSHCN
TX
05
—
217937603
—
TX
01
—
827N59
BCBS
TX
01
—
P01048887
RR MEDICARE
TX
Enumeration date
08/10/2010
Last updated
01/24/2017
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