Lisa D'nae Provence, DPT is a
Physical Therapist based in Amherst, Texas. Lisa D'nae Provence is licensed to practice in Texas (license number 1184670) and her current practice location is
1400 Main Street, Amherst, Texas. She can be reached at her office (for appointments etc.) via phone at
(806) 246-3483.
NPI number for Lisa D'nae Provence is 1659680783 and her current mailing address is Po Box 320, Amherst, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659680783.
Healthcare Provider's Profile
| Full Name | Lisa D'nae Provence |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 1400 Main Street, Amherst, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659680783
- Provider Enumeration Date: 10/07/2010
- Last Update Date: 10/07/2010
Medical Identifiers
Medical identifiers for Lisa D'nae Provence such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659680783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 1184670 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa D'nae Provence is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lisa D'nae Provence, DPT
Po Box 320,
Amherst, TX 79312-0320
Ph: () - | Lisa D'nae Provence, DPT
1400 Main Street,
Amherst, TX 79312
Ph: (806) 246-3483 |
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