Organization
CLINICA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSA THOMAS NP (CEO)
(972) 693-1944
Entity
Organization
Contact information
Practice address
103 HALL RD, SEAGOVILLE, TX 75159-2915
(972) 693-1944
Mailing address
103 HALL RD, SEAGOVILLE, TX 75159-2915
(972) 693-1944
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP131702
TX
Other
Enumeration date
04/07/2017
Last updated
12/03/2025
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