Individual
LISA M DIX EMPERADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18414 US HWY 281 N SUITE 104, SUITE A, SAN ANTONIO, TX 78259
(877) 460-5004
(888) 388-4339
Mailing address
597 W SESAME DR, SUITE A, HARLINGEN, TX 78550-7962
(956) 412-7503
(956) 423-0914
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L3283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035HK
BCBS
TX
01
—
0039RA
BCBS
TX
01
—
060068750
RAILROAD MEDICARE
TX
05
—
1505398-01
—
TX
05
—
1505398-02
—
TX
05
—
1505398-03
—
TX
05
—
1757668-01
—
TX
01
—
8AW384
BCBS
TX
Enumeration date
05/05/2006
Last updated
02/11/2016
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