Individual
LISA HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1101 S MAIN ST, ROOM 1500, FORT WORTH, TX 76104-4802
(817) 321-4850
(817) 321-4809
Mailing address
1101 S MAIN ST, ROOM 1500, FORT WORTH, TX 76104-4802
(817) 321-4850
(817) 321-4809
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
133084
TX
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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