Individual
LILIAN ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2831 E PRESIDENT GEORGE BUSH HWY, RICHARDSON, TX 75082-3561
(214) 343-6663
(214) 343-2814
Mailing address
3001 GEORGE BUSH HWY STE 225, RICHARDSON, TX 75082-3569
(214) 343-6663
(214) 343-2814
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M2825
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
M2825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216664703
—
TX
05
—
216664704
—
TX
01
—
8BX998
BCBS
TX
Enumeration date
05/13/2007
Last updated
01/03/2022
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