Lisa Blair, PA-C
Individual provider Active NPI Physician Assistant · Granbury, TX
NPI 1871675348 · NPPES record last updated Jun 11, 2018
Key facts
- NPI
- 1871675348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 00381 (TX)
- Practice address
- 1310 B Paluxy Road
Suite 2000
Granbury, TX 76048 - Phone
- (817) 579-3700
- Fax
- (817) 279-3715
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00381 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 00381 | TX | Yes |
Addresses
Primary practice location
1310 B Paluxy Road
Suite 2000
Granbury, TX 76048
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other providers in Granbury, TX
- Ahmed S Bhatti
- Big Bear Homecare, LLC
- Bio-Medical Applications of Texas, Inc.
- Caitlyn Renay Bishop
- Paul S Bishop
- Shawn Blessie
- Jean Springer Blevins-Smith
- David Edward Blocker
- Latina Bolick
- Wendy Heger Bonnell
All providers in Granbury, TX · Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2018. 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.