Individual
LISA VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6565 WEST LOOP S STE 760, BELLAIRE, TX 77401-3505
(832) 987-2555
(713) 510-9672
Mailing address
4805 WEDGEWOOD DR, BELLAIRE, TX 77401-2829
(713) 202-4579
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P4913
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326770001
—
TX
Enumeration date
07/31/2009
Last updated
10/14/2021
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