Individual
LISA ANN GUIDRY PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8201 PRESTON RD STE 440, DALLAS, TX 75225-6209
(214) 675-3227
(972) 435-4481
Mailing address
8201 PRESTON RD STE 440, DALLAS, TX 75225-6209
(214) 675-3227
(972) 435-4481
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
026450
LA
207N00000X
Dermatology Physician
MD026450
LA
207N00000X
Dermatology Physician
Primary
N3700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04158761
—
MS
05
—
06533
—
LA
05
—
1065331
—
LA
Enumeration date
07/14/2006
Last updated
02/17/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us