| Lisa Renee Nash, DO | |
| 1305 E Seminary Dr, Fort Worth, TX 76115-2945 | |
| (817) 735-5058 | |
| Not Available | 
| Full Name | Lisa Renee Nash | 
|---|---|
| Gender | Female | 
| Speciality | Family Medicine | 
| Location | 1305 E Seminary Dr, Fort Worth, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336217546 | NPI | - | NPPES | 
| 130854608 | Medicaid | TX | |
| 8CG843 | Other | TX | BCBS | 
| P00863971 | Other | TX | RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | J2226 (Texas) | Primary | 
| Entity Name | Utmb Faculty Group Practice | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 | 
| Entity Name | University Of North Texas Health Science Center At Fort Worth | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376645564 PECOS PAC ID: 6103717350 Enrollment ID: O20040324001382 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lisa Renee Nash, DO Po Box 99335, Fort Worth, TX 76199-0335 Ph: (817) 735-2228 | Lisa Renee Nash, DO 1305 E Seminary Dr, Fort Worth, TX 76115-2945 Ph: (817) 735-5058 | 
| Jonathan A Lazarini, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 903-353-2265 | |
| Mrs. Adeline Galvez,  Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104 Phone: 817-250-4987 | |
| Fomundam Newnton Mbuh, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4759 South Fwy Ste 101, Fort Worth, TX 76115 Phone: 817-382-0005 | |
| Dr. Joane Baumer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Family Medicine Center, Fort Worth, TX 76104 Phone: 817-335-1034 | |
| Evelyn Tobias-merrill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Stadium Dr, Fort Worth, TX 76109 Phone: 817-257-7940 Fax: 817-257-7279 | |
| Dr. Christian Ann Lance, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 8th Ave Ste 412, Fort Worth, TX 76104 Phone: 817-662-2006 Fax: 817-623-9598 | |
| Dr. Michael David Carletti, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-0278 |