Organization
LISA RENEE REZNICK MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA RENEE REZNICK MD (PHYSICIAN)
(972) 395-9000
Entity
Organization
Contact information
Practice address
4100 FAIRWAY DR, SUITE 120, CARROLLTON, TX 75010-6525
(972) 395-9000
(972) 395-9002
Mailing address
4100 FAIRWAY CT, SUITE 120, CARROLLTON, TX 75010
(972) 395-9000
(972) 395-9002
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
K0169
TX
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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