Lisa Sansalone
Nurse Practitioner - Pediatrics
6410 Fannin St 1400
Houston
, Texas 77030-3000
Lisa Sansalone
Nurse Practitioner - Pediatrics
6410 Fannin St 1400
Houston
, Texas 77030-3000
(713) 500-5484
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Lisa Sansalone
- Po Box 201088
- Houston, TX
- Zip : 77216-1088
- Fax : (713) 500-5484
- Phone : (713) 500-3500
Second Address
- Lisa Sansalone
- 6410 Fannin St 1400
- Houston, TX
- Zip : 77030-3000
- Phone : (832) 325-7125
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 695480 | TX |
National Provider Identifier
| NPI | 1043357908 |
|---|---|
| Provider Name | Lisa Sansalone |
| First Address | Houston, TX 77216-1088 |
| Second Address | Houston, TX 77030-3000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2007 |
| Last Update Date | 27/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8Y1512 | BCBS (01) | TX |
| Q79627 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.