Individual
LIZA JOHANNESSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D PHD
Contact information
Practice address
BAYLOR UNIVERSITY MEDICAL CENTER, 3410 WORTH STREET, STE 950, DALLAS, TX 75246
(214) 820-6983
Mailing address
BAYLOR UNIVERSITY MEDICAL CENTER, 3410 WORTH STREET, STE 950, DALLAS, TX 75246
(214) 820-6983
(214) 818-6491
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
46229
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
46229
TX
Other
Enumeration date
02/23/2018
Last updated
06/15/2023
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