Provider Demographics
NPI:1588711543
Name:JOSON, LISA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:ANN
Last Name:JOSON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:14340 TORREY CHASE BLVD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1021
Mailing Address - Country:US
Mailing Address - Phone:281-580-8086
Mailing Address - Fax:281-580-7129
Practice Address - Street 1:14340 TORREY CHASE BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1021
Practice Address - Country:US
Practice Address - Phone:281-580-8086
Practice Address - Fax:281-580-7129
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXK55732084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH84404Medicare UPIN