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Contact Information

LISA L FRAGA, MD
1545 E SOUTHLAKE BLVD
SUITE 140
SOUTHLAKE, TX76092
 Phone: 817-748-0200
 Fax: 817-749-0204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for LISA L FRAGA · (Female)

NPI # 1356393789
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 01/16/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • TX License # J8570
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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