Thaddeus Lis, Md

NPI 1013922681 - Anesthesiology - 207L00000X

NPI Details
NPI 1013922681
Enumeration Date 07/30/2006
Last Updated 02/15/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUE SUE
Position ADMINISTRATOR
Phone (281) 880-6991
Fax
Practice Location
18300 SAINT JOHN DR
HOUSTON TX, 77058-6302, US
Phone (281) 880-6991
Fax
Business Location
714 FM 1960 RD W
SUITE 206
HOUSTON TX, 77090-3405, US
Phone
Fax
Toxanomy
Taxonomy Code 207L00000X
License State
License Number
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According to our database, Thaddeus Lis, Md NPI is 1013922681, taxonomy code is 207L00000X Thaddeus Lis, Md physically located at 18300 Saint John Dr, Houston TX, 77058-6302. NPI Number 1033115704 has the healthcare provider type.

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1013922681 NPI number is provided on an as is basis without warranty of any kind. 1013922681 is maintained by the National Plan & Provider Enumeration System. The contents of Thaddeus Lis, Md are for informational purposes only.