Most Relevant Information
Provider Data
| NPI Number: | 1003316142 |
| Provider Name: | LISA ERNEST |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | AP137022 |
Most Important Dates
| Enumeration Date: | 02/15/2018 |
| Last Updated: | 04/12/2018 |
Provider Practice Location
3201 W SANER AVE
DALLAS
TX
752331430
Practice Location Phone/Fax
| Phone: | 2143310567 |
| Fax: |
Provider Mailing Location
122 W JOHN CARPENTER FWY STE 420
IRVING
TX
750392014
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |