Lawson Achala
Individual provider Active NPI Registered Nurse · The Colony, TX
NPI 1063974863 · NPPES record last updated Apr 2, 2019
Key facts
- NPI
- 1063974863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 950529 (TX)
- Practice address
- 4516 Crooked Ridge Dr
The Colony, TX 75056-4079 - Phone
- (214) 714-0105
- NPI assigned
- Apr 2, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 950529 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 950529 | TX | Yes |
Addresses
Primary practice location
4516 Crooked Ridge Dr
The Colony, TX 75056-4079
Mailing address
4516 Crooked Ridge Dr
The Colony, TX 75056-4079
Phone (214) 714-0105
Other providers in The Colony, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.