Lisa a. Garner, M.D.P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G5079 Issued in TX

Legal business name

LISA A. GARNER, M.D.P.A.

Practice address

3310 Broadway Blvd
Garland, TX 75043-1531

Phone

(972) 271-4141

Fax

(972) 278-8691

NPI assigned

Aug 2, 2010

Organization subpart

No

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

Authorized official

Name

Lisa A Garner, MD

Title

President

Phone

(727) 250-1115

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne T. Tuveson, M.D.

  • Dermatology Physician
  • Garland, TX
  • NPI 1114087079
  NPD (past)
• Abraham Kuruvilla, MD, PHD

  • Dermatology Physician
  • Louisville, KY
  • NPI 1124004080
  NPD (past)

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1891009833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 BROADWAY BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431531",
            "telephone_number": "972-271-4141",
            "fax_number": "972-278-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 BROADWAY BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431531",
            "telephone_number": "972-271-4141",
            "fax_number": "972-278-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A. GARNER, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-250-1115",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "G5079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288128601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "TXB113010",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098021105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• David Ling, RPH.
• Austin Liou, D.C.
• Little Angels Transportation LLC
• Vijayavalli Little, M.D.
• Katherine Y Liu, PT, DPT
• Liv Well Home Health Care Inc
• Cori C. Lively, LM, CPM

• Dermatology Physician in Garland, TX
• Providers in Garland, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.