Individual
DR. JANNELL LISING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48497
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
48497
TX
Other
Enumeration date
03/26/2020
Last updated
09/27/2024
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