Individual
LISA ROSE INCHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-2621
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
072642
GA
207R00000X
Internal Medicine Physician
265432
MA
208M00000X
Hospitalist Physician
Primary
R0420
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2012
Last updated
12/23/2021
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