Individual
DR. LISA L. FRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1545 E SOUTHLAKE BLVD, SUITE 140, SOUTHLAKE, TX 76092
(817) 748-0200
(817) 749-0204
Mailing address
1545 E SOUTHLAKE BLVD, SUITE 140, SOUTHLAKE, TX 76092
(817) 748-0200
(817) 749-0204
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J8570
TX
Other
Enumeration date
05/16/2006
Last updated
01/16/2008
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