Lisa J Gauvin (NPI# 1023401650, PAC ID# 4981913878) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023401650 |
| PAC ID by PECOS | 4981913878 |
| Professional Enrollment ID | I20151015000774 |
| Full Name | Lisa J Gauvin |
| Organization Legal Name | WAL-MART STORES TEXAS LLC |
| Address |
555 W Interstate 30 Walmart Care Clinic 10 3224 Garland TX 75043-5702 |
| Phone Number | 9725351562 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719199165 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 555 W Interstate 30, Walmart Care Clinic 10 3224, Garland, TX 75043-5702 | 9725351562 | WAL-MART STORES TEXAS LLC |
| 555 W Interstate 30, Garland, TX 75043-5702 | 9725351562 | WAL-MART STORES TEXAS LLC |
| Organization Legal Name | WAL-MART STORES TEXAS LLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Demishe Fontenot | Nurse Practitioner | Wal-mart Stores Texas LLC | 4801 S Cooper St, Walmart Care Clinic 10 1801, Arlington, TX 76017-5928 |
| Lavea A Landrum | Nurse Practitioner | Wal-mart Stores Texas LLC | 8840 Hwy 377 S, Benbrook, TX 76126-3440 |
| Brandy Denise Hill | Nurse Practitioner | Wal-mart Stores Texas LLC | 3820 State Hwy 64 W, Tyler, TX 75704-6924 |
| Jean C Anderson | Nurse Practitioner | Wal-mart Stores Texas LLC | 494 W Interstate 30, Walmart Care Clinic 10 5987, Royse City, TX 75189-8557 |
| Carolina Deandres | Nurse Practitioner | Wal-mart Stores Texas LLC | 25800 Kuykendahl Rd, Tomball, TX 77375-2892 |
| Bincy Varughese | Nurse Practitioner | Wal-mart Stores Texas LLC | 1213 E Trinity Mills Rd, Walmart Care Clinic 10 1216, Carrollton, TX 75006-1446 |
| Celya N Tilley | Nurse Practitioner | Wal-mart Stores Texas LLC | 2720 E Hwy 190, Walmart Care Clinic 10 0381, Copperas Cove, TX 76522-2584 |
| Onyero J Osemiha | Nurse Practitioner | Wal-mart Stores Texas LLC | 555 W Interstate 30, Walmart Care Clinic 10 3224, Garland, TX 75043-5702 |
| Delores G Cook | Nurse Practitioner | Wal-mart Stores Texas LLC | 2223 S Loop, 256 Walmart Care Clinic 10 0345, Palestine, TX 75801-4701 |
| Lisa F. Smith | Nurse Practitioner | Wal-mart Stores Texas LLC | 1213 E Trinity Mills Rd, Walmart Care Clinic 10 1216, Carrollton, TX 75006-1446 |
| Street Address |
555 W INTERSTATE 30 WALMART CARE CLINIC 10 3224 |
| City | GARLAND |
| State | TX |
| Zip | 75043-5702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Onyero J Osemiha | Nurse Practitioner | Wal-mart Stores Texas LLC | 555 W Interstate 30, Walmart Care Clinic 10 3224, Garland, TX 75043-5702 |
| Lisa D Mathai | Nurse Practitioner | Wal-mart Stores Texas LLC | 555 W Interstate 30, Walmart Care Clinic 10 3224, Garland, TX 75043-5702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Edward Smith | Podiatry | Metroplex Foot and Ankle, LLP | 6330 Broadway Bouelvard, Garland, TX 75043 |
| Rachna Tiwari | Podiatry | Metroplex Foot and Ankle, LLP | 6330 Broadway Bouelvard, Garland, TX 75043 |
| Brian Edward De Yoe | Podiatry | Metroplex Foot and Ankle, LLP | 6330 Broadway Bouelvard, Garland, TX 75043 |
| Timonet B Abuloc | Nurse Practitioner | 2605 Chesapeake Dr, Garland, TX 75043-0901 | |
| Michael S Allen | Diagnostic Radiology | Radadvantage A Professional Corporation | 3114 Bluffview Dr, Garland, TX 75043-1454 |
| Thao U Nguyen | Dermatology | Pdp of Texas, Pllc | 3310 Broadway Blvd, Garland, TX 75043-1531 |
| Lisa A Garner | Dermatology | Pdp of Texas, Pllc | 3310 Broadway Blvd, Garland, TX 75043-1531 |
| Anne Terese Tuveson | Dermatology | Anne T Tuveson Md Pa | 3310 Broadway Blvd, Garland, TX 75043-1531 |
| Jill W. Bracken | Psychiatry | 3200 Southern Dr, Suite 107, Garland, TX 75043-1549 | |
| Hayan A Orfaly | Internal Medicine | 3200 Broadway Blvd, Suite 180, Garland, TX 75043-1572 | |
| Find all physicians in zip 75043 | |||
| City | GARLAND |
| Zip Code | 75043 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GARLAND + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.