Lisa a. King M.D,P.a.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

J8015 Issued in TX

Legal business name

LISA A. KING M.D,P.A.

Practice address

950 Scotland Dr
Desoto, TX 75115-2057

Phone

(972) 709-9777

NPI assigned

Oct 4, 2006

Last updated

Jan 6, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Beverly Ann Bass

Title

Business Manager

Phone

(972) 709-9777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daphne Lee Jane McDonald, WHCNP

  • Women's Health Nurse Practitioner
  • Richardson, TX
  • NPI 1962691949
  NPD (past)
• Ruth Whiddon, RNC WHNP

  • Women's Health Nurse Practitioner
  • Frisco, TX
  • NPI 1366428005
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1033204060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674298",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674298",
            "telephone_number": "972-709-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SCOTLAND DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152057",
            "telephone_number": "972-709-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A. KING M.D,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "972-709-9777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "J8015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118575301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liberty Healthcare Inc
• Kenneth I Licker, MD
• Philip Lieu, M.D.
• Life 2.0 Behavioral Health Services
• Life Changing Solutions, LLC
• Gene Edward Little Jr.
• Clyde Lamar Logan III, DC
• Paula London-Scott, B.S.,M.S.,CTRS
• Krystel Leann Long, PMHNP
• Jacquelynn Antoinette Longshaw, M.D.

• Reproductive Endocrinology Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Reproductive Endocrinology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.