Organization
LISA M. JUKES, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARGARET JUKES M.D. (OWNER, PHYSICIAN)
(512) 301-6767
Entity
Organization
Contact information
Practice address
5656 BEE CAVE RD, SUITE B101, WEST LAKE HILLS, TX 78746-5280
(512) 301-6767
(512) 301-6776
Mailing address
5656 BEE CAVE RD, SUITE B101, WEST LAKE HILLS, TX 78746-5280
(512) 301-6767
(512) 301-6776
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
K6767
TX
207VX0000X
Obstetrics Physician
K6767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008KP
BCBS GROUP
TX
01
—
286813
SCOTT & WHITE
TX
01
—
8K1560
BCBS INDIVIDUAL
TX
Enumeration date
04/18/2007
Last updated
05/15/2012
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