person
Dr. Lisa L. Fraga, MD
Specialist in Southlake, Texas
NPI 1356393789

Lisa L. Fraga is a Specialist based in Southlake, TX. Lisa L. Fraga practices in Southlake, TX and has the professional credentials of MD. The NPI Number for Lisa L. Fraga is 1356393789 and holds a License No. J8570 (Texas).

The current practice location address for Lisa L. Fraga is 1545 E Southlake Blvd, Southlake, TX and can be reached out via phone at 817-748-0200 and via fax at 817-749-0204.

Location: 1545 E Southlake Blvd, Southlake, TX, 76092
person
Provider Profile Details
NPI Number
1356393789
Provider Name
Lisa L. Fraga
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1545 E Southlake Blvd, Southlake, TX, 76092
Phone Number
817-748-0200
Fax Number
817-749-0204
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1545 E Southlake Blvd
City
State
Zip
76092
Phone Number
817-748-0200
Fax Number
817-749-0204
person
Provider Business Mailing Address Details
Address
1545 E Southlake Blvd
City
State
Zip
76092
Phone Number
817-748-0200
Fax Number
817-749-0204
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
J8570 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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