Provider Demographics
NPI:1336971795
Name:LISSE WELLNESS AND WEIGHT MANAGEMENT, PLLC
Entity type:Organization
Organization Name:LISSE WELLNESS AND WEIGHT MANAGEMENT, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KATIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN BAPTISTE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:713-338-0082
Mailing Address - Street 1:701 N POST OAK RD STE 205
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-3869
Mailing Address - Country:US
Mailing Address - Phone:713-338-0082
Mailing Address - Fax:713-338-0082
Practice Address - Street 1:701 N POST OAK RD STE 205
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-3869
Practice Address - Country:US
Practice Address - Phone:713-338-0082
Practice Address - Fax:713-701-7284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Single Specialty