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Jerome P Lisk, MD
Neurology Physician in Denton, Texas
NPI 1821036500

Jerome P Lisk is a Neurology Physician based in Denton, TX and is specialized in Neurology. Jerome P Lisk practices in Denton, TX and has the professional credentials of MD. The NPI Number for Jerome P Lisk is 1821036500 and holds a License No. 2004029825 (Texas).

The current practice location address for Jerome P Lisk is 3120 Medpark Dr Ste 100, Denton, TX and can be reached out via phone at 940-383-1770 and via fax at 877-319-1848.

Location: 3120 Medpark Dr Ste 100, Denton, TX, 76208-6982
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821036500
Provider Name
Jerome P Lisk
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3120 Medpark Dr Ste 100, Denton, TX, 76208-6982
Phone Number
940-383-1770
Fax Number
877-319-1848
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
366511901 05 TX
P01773741 01 TX RAIL ROAD MEDICARE
207238106 05 MO
193247 01 BLUE CROSS/BLUE SHIELD
P00890011 01 CA MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
3120 Medpark Dr Ste 100
City
Denton
State
Texas
Zip
76208-6982
Phone Number
940-383-1770
Fax Number
877-319-1848
person
Provider Business Mailing Address Details
Address
3120 Medpark Dr Ste 100
City
Denton
State
Texas
Zip
76208-6982
Phone Number
940-383-1770
Fax Number
877-319-1848
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
2004029825 (Missouri)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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