Active NPI
Lisa Renee Reznick MD, PA
- Durable Medical Equipment & Medical Supplies
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- K0169
- Legal business name
- LISA RENEE REZNICK MD, PA
- Practice address
- 4100 Fairway Dr
Suite 120
Carrollton, TX 75010-6525 - Phone
- (972) 395-9000
- Fax
- (972) 395-9002
- NPI assigned
- Dec 6, 2010
- Last updated
- Dec 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Renee Reznick, MD
- Title
- Physician
- Phone
- (972) 395-9000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | K0169 | TX | Primary |
Addresses
Primary practice location
4100 Fairway Dr
Suite 120
Carrollton, TX 75010-6525
Mailing address
4100 Fairway CT
Suite 120
Carrollton, TX 75010
Phone (972) 395-9000
National Provider Directory
National Provider DirectoryLocations
4100 Fairway Dr
Ste 120
Carrollton, TX 75010
Phone (972) 395-9000
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Orthopaedic Hand Surgery Physician
- Carrollton, TX
- NPI 1629054531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291593600000",
"number": "1982907465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 FAIRWAY CT",
"address_2": "SUITE 120",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "75010",
"telephone_number": "972-395-9000",
"fax_number": "972-395-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 FAIRWAY DR",
"address_2": "SUITE 120",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750106525",
"telephone_number": "972-395-9000",
"fax_number": "972-395-9002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA RENEE REZNICK MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-06",
"last_updated": "2010-12-06",
"status": "A",
"authorized_official_last_name": "REZNICK",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "972-395-9000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "K0169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
- Maria Linan, D.D.S.
- Diane Kay Lindgren, LPC
- Rodney Lindsay, M.D.
- Eileen Liou, PHARMD
- Lisa Park OD PLLC (Focal Point Eyecare)
- Little Angels Pediatric Therapies LLC
- Little Lantern Care
- Little Lantern Clinic LLC (US Clinics)
- Little Lantern Home Health LLC
- Little Lantern Hospice LLC (Peace Valley Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.