Organization Active NPI

Lifshen Family Clinic PA

  • Specialist
  • West Lake Hills, TX
National Provider Identifier
1245468164
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H4492 Issued in TX
Legal business name
LIFSHEN FAMILY CLINIC PA
Practice address
912 S Capital of Texas Hwy
Ste 100
West Lake Hills, TX 78746-5264
Phone
(512) 306-8360
Fax
(512) 306-8176
NPI assigned
Jun 30, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Mrs. Rebecca Ann Wise
Title
Office Manager
Phone
(512) 279-4402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H4492 TX Primary

Addresses

Primary practice location

912 S Capital of Texas Hwy
Ste 100
West Lake Hills, TX 78746-5264

Mailing address

912 S Capital of Texas Hwy
Ste 100
West Lake Hills, TX 78746-5264
Phone (512) 306-8360

Other names 1

  • Michael Lifshen MD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1245468164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S CAPITAL OF TEXAS HWY",
            "address_2": "STE 100",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465264",
            "telephone_number": "512-306-8360",
            "fax_number": "512-306-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S CAPITAL OF TEXAS HWY",
            "address_2": "STE 100",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465264",
            "telephone_number": "512-306-8360",
            "fax_number": "512-306-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFSHEN FAMILY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-279-4402",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H4492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Lifshen MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.