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Individual

LISA ANN MINSLOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2401 S FM 51 STE 100, DECATUR, TX 76234-3782
(940) 627-8044
(940) 627-8055
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q4211
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
TN
Enumeration date
06/11/2012
Last updated
10/13/2021
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