Individual
LISA STOREY MACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
418 PARK GROVE DR, KATY, TX 77450-1571
(281) 492-0774
Mailing address
418 PARK GROVE DR, KATY, TX 77450-1571
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R9442
TX
Other
Enumeration date
05/12/2016
Last updated
01/17/2022
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