MS. LISA MOJEZATI (NPI# 1316299589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316299589 |
| Entity Type | Individual |
| Full Name | MS. LISA MOJEZATI |
| Credential | P.A. |
| Practice Address |
645 E State Highway 121 Suite 600 Coppell TX 75019-7942 |
| Mailing Address |
7145 N George Bush Hwy Garland TX 75044-2988 |
| Practice Telephone | 9727457500 |
| Mailing Telephone | 9725301900 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2014-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA08001 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
645 E STATE HIGHWAY 121 SUITE 600 |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-7942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639127772 | Joshua Maxson Clark | Family Medicine | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2006-05-04 |
| 1326401001 | Sadaf Aliya Jamil | Physician Assistant | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2016-03-31 |
| 1487080222 | Kandace O Tulk | Physician Assistant | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2013-09-25 |
| 1306062997 | Mini Thomas | Family Medicine | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2007-04-18 |
| 1093834962 | Bonnie S Gore | Physical Therapist | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2007-03-29 |
| 1225101934 | William Taylor | Family Medicine | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2006-11-17 |
| 1144307844 | Marc Anduss | Family Medicine | 645 E State Highway 121, Coppell, TX 75019-7942 | 2006-11-01 |
| 1316969355 | George Rodney Petry | Family Medicine | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| Find all providers in zip 75019 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699759118 | Kevin David Epple | Physician Assistant | 670 N Macarthur Blvd Ste 100, Coppell, TX 75019-2733 | 2005-11-30 |
| 1326401001 | Sadaf Aliya Jamil | Physician Assistant | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2016-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.