Individual
LISA M JUKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3944 RR 620 SOUTH, BUILDING 8, SUITE 208, BEE CAVE, TX 78738-7000
(512) 301-6767
(512) 301-6776
Mailing address
5656 BEE CAVES RD STE B101, WEST LAKE HILLS, TX 78746-5281
(512) 301-6767
(512) 301-6776
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K6767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008KP
BCBS GROUP
TX
01
—
286813
SCOTT & WHITE
TX
01
—
680559223
TAX ID
TX
01
—
8K1560
BCBS INDIVIDUAL
TX
Enumeration date
08/01/2006
Last updated
09/29/2022
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