Individual
LISA G MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 WATER ST #105-B, KERRVILLE, TX 78028
(830) 896-1344
(830) 896-1363
Mailing address
420 WATER ST #105-B, KERRVILLE, TX 78028
(830) 896-1344
(830) 896-1363
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G1473
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128706203
—
TX
Enumeration date
05/11/2006
Last updated
06/01/2009
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