Individual
DR. LISA W. SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
760 N DENTON TAP RD STE 120, COPPELL, TX 75019
(972) 420-1475
Mailing address
760 N DENTON TAP RD STE 120, COPPELL, TX 75019-2164
(972) 420-1475
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30781
OK
Other
Enumeration date
06/17/2014
Last updated
05/02/2019
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