Organization
LISA A. GARNER, M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A GARNER MD (PRESIDENT)
(727) 250-1115
Entity
Organization
Contact information
Practice address
3310 BROADWAY BLVD, GARLAND, TX 75043-1531
(972) 271-4141
(972) 278-8691
Mailing address
3310 BROADWAY BLVD, GARLAND, TX 75043-1531
(972) 271-4141
(972) 278-8691
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G5079
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098021105
—
TX
05
—
288128601
—
TX
01
—
TXB113010
PTAN
TX
Enumeration date
08/02/2010
Last updated
02/18/2022
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