NPIMap

Organization Active NPI

Lisa Rouse, M.D., P.a.

  • Family Medicine Physician
  • Kerrville, TX
National Provider Identifier
1194910166
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H3937 Issued in TX
Legal business name
LISA ROUSE, M.D., P.A.
Practice address
707 Hill Country Dr Ste 106
Kerrville, TX 78028-5910
Phone
(830) 896-0404
Fax
(830) 896-4343
NPI assigned
Sep 12, 2007
Last updated
Sep 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Dr. Lisa A Rouse, MDNPI 1063495661
Title
Owner
Phone
(830) 896-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H3937 TX Primary

Addresses

Primary practice location

707 Hill Country Dr Ste 106
Kerrville, TX 78028-5910

Mailing address

707 Hill Country Dr Ste 106
Kerrville, TX 78028-5910
Phone (830) 896-0404

National Provider Directory

National Provider Directory

Locations

2217 JCT Hwy
Kerrville, TX 78028
Phone (830) 895-2500

317 Sidney Baker St S
Ste 110
Kerrville, TX 78028

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1194910166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 HILL COUNTRY DR STE 106",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285910",
            "telephone_number": "830-896-0404",
            "fax_number": "830-896-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 HILL COUNTRY DR STE 106",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285910",
            "telephone_number": "830-896-0404",
            "fax_number": "830-896-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA ROUSE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-896-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H3937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.