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Individual

LISA TENNYSON EMRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6701 FANNIN ST, SUITE 1560, HOUSTON, TX 77030-2608
(832) 822-4289
Mailing address
6701 FANNIN ST STE 1250, HOUSTON, TX 77030-2612
(832) 824-1000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P20084
MD
208000000X
Pediatrics Physician
Primary
P4161
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
P4161
TX

Other

Enumeration date
01/29/2007
Last updated
06/10/2024
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