LISE AMY LABICHE (NPI# 1487621306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487621306 |
Entity Type | Individual |
Full Name | LISE AMY LABICHE |
Other Name | LISE AMY LABICHE |
Practice Address |
3535 S Interstate 35 E Denton TX 76210-6850 |
Mailing Address |
Po Box 678186 Dallas TX 75267-8186 |
Practice Telephone | 9403843535 |
Practice Fax Number | 3033067753 |
Mailing Telephone | 3033067783 |
Mailing Fax Number | 3033067753 |
Enumeration Date | 2006-03-01 |
Last Update Date | 2016-06-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
K9830 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TEXAS MEDICAL LICENSE | K9830 | 01 |
TX | RR MEDICARE | P00477936 | 01 |
TX | 158290002 | 05 |
Street Address |
3535 S INTERSTATE 35 E |
City | DENTON |
State | TX |
Zip Code | 76210-6850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477530871 | Mary Charlene Berg | Nurse Anesthetist, Certified Registered | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2005-12-27 |
1073084679 | Taylor Fletcher | Physician Assistant | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2018-12-09 |
1760959696 | Prajnawati Wibowo | Nurse Practitioner | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2018-10-29 |
1104367168 | Terrie Branson | Nurse Practitioner | 3535 S Interstate 35 E, Denton, TX 76210 | 2017-03-10 |
1649512591 | Ashley Rena Wiles | Nurse Practitioner | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2013-03-19 |
1093975278 | Elango Packirisamy Vinjirayer | Internal Medicine | 3535 S Interstate 35 E, Denton Regional Medical Center, Denton, TX 76210-6850 | 2008-06-11 |
1952529828 | Justin Robert Northeim | Emergency Medicine | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2007-04-23 |
1376769026 | Thomas J Olmsted | Emergency Medicine | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2007-04-18 |
1396865358 | Christina K Sokolowski | Physical Therapist | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2007-03-30 |
1568545663 | Bradley Ray Armstrong | Physician Assistant | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2006-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609403716 | Corinth Community Pharmacy, LLC. | Pharmacy | 3001 F.m. 2181, Suite 450, Corinth, TX 76210 | 2020-03-26 |
1003467200 | Stephanie R Rynor I | Nurse Practitioner | 3001 Fm 2181 Ste 300, Corinth, TX 76210 | 2019-09-28 |
1417435389 | Ikids Pediatric Dentistry Denton, Pllc | Dentist | 1212 Bent Oaks Ct Ste 100, Denton, TX 76210 | 2018-08-02 |
1083100101 | Ahir Dental Pllc | Dentist | 3220 Teasley Ln, Suite#100, Dention, TX 76210 | 2018-07-02 |
1235636010 | Diane Michelle Dean | Counselor | 2701 Shoreline Drive, Denton, TX 76210 | 2018-04-09 |
1740709344 | Southridge Dental, LLC | Dentist | 3303 Unicorn Lake Blvd, Ste 200, Denton, TX 76210 | 2017-09-14 |
1356876601 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Fm 2181, Corinth, TX 76210 | 2017-04-25 |
1366990137 | Phee Dental Group | Dentist | 4920 Teasley Ln, Denton, TX 76210 | 2016-09-21 |
1265893283 | Ann Marie Norris | Respiratory Therapist, Registered | 3535 E I-35, Denton, TX 76210 | 2016-03-18 |
1447644778 | Santa Patricia Espinoza | Nurse Practitioner | 3537 South Interstate 35e, Ste. 210, Denton, TX 76210 | 2015-03-25 |
Find all providers in zip 76210 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447590377 | Questcare Telehealth Neurology Pllc | Psychiatry & Neurology | 3535 South Interstate 35, Denton, TX 76210 | 2013-03-01 |
1912929605 | Lynn L Wang | Psychiatry & Neurology | 3120 Medpark Dr., Ste 100, Denton, TX 76208-6981 | 2006-07-24 |
1962430553 | Mohamed Summakia | Psychiatry & Neurology | 2516 Lillian Miller Pkwy, Ste 110, Denton, TX 76210-7205 | 2006-06-30 |
1982825683 | Lewisville Neurology P.a. | Psychiatry & Neurology | 3120 Medpark Dr, #100, Denton, TX 76208-6981 | 2007-05-01 |
1154335529 | David H Cooke Jr. | Psychiatry & Neurology | 3120 Medpark Dr, Ste 100, Denton, TX 76208-6981 | 2006-07-28 |
1497719348 | Jayaraman Ravindran | Psychiatry & Neurology | 3120 Medpark Dr, Ste 100, Denton, TX 76208-6981 | 2006-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366059230 | Alla Al-habib Md Pllc | Psychiatry & Neurology | 981 Sh 121, Suite 3100, Allen, TX 75013 | 2020-09-25 |
1427669712 | Nerve Track, Pllc | Psychiatry & Neurology | 17503 La Cantera Pkwy Ste 104-416, San Antonio, TX 78257-8207 | 2020-08-11 |
1013535020 | Pearland Neurology Services, Pllc | Psychiatry & Neurology | 11914 Astoria Blvd Ste 400, Houston, TX 77089-6049 | 2020-07-07 |
1881219384 | Pankhuri Banerjee | Psychiatry & Neurology | 301 University Blvd. -jsa 9.128, Galveston, TX 77555-0539 | 2020-06-10 |
1184247371 | Integris Neuro Group LLC | Psychiatry & Neurology | 2012 Justin Rd Ste 200-a, Highland Village, TX 75077-7193 | 2020-05-21 |
1265055685 | Schweta Parag Rane | Psychiatry & Neurology | 301 University Blvd. - Jsa9. 128, Galveston, TX 77555-0539 | 2020-05-20 |
1477175214 | Vijaya Lakshmi Valaparla | Psychiatry & Neurology | Utmb - Neurology - Jsa 9.128 - Rt. 0539, 301 University Blvd, Galveston, TX 77555-0539 | 2020-05-14 |
1548895386 | Robert William Bastien | Psychiatry & Neurology | 602 Catalina Cove Ln, La Marque, TX 77568-6577 | 2020-03-11 |
1740823772 | Epilepsy and Neurology Care Specialists Pllc | Psychiatry & Neurology | 2406 Stirling Ave, Edinburg, TX 78539-2706 | 2019-10-22 |
1235797226 | Apollo Monitoring Services, LLC | Psychiatry & Neurology | 1100 Glade Rd, Colleyville, TX 76034-4227 | 2019-06-04 |
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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.