| Jerome P. Lisk, M.d., Inc. | |
|
3537 S I 35 E Ste 112 Denton TX 76210-6868 | |
| (940) 383-1770 | |
| (833) 992-0840 |
| Full Name | Jerome P. Lisk, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3537 S I 35 E Ste 112, Denton, Texas |
| Authorized Official Name and Position | Jerome P Lisk (PHYSICIAN) |
| Authorized Official Contact | 9403831770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome P. Lisk, M.d., Inc. 3537 S I 35 E Ste 112 Denton TX 76210-6868 Ph: (940) 383-1770 | Jerome P. Lisk, M.d., Inc. 3537 S I 35 E Ste 112 Denton TX 76210-6868 Ph: (940) 383-1770 |
| NPI Number | 1598952616 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 04/03/2026 |
| Certification Date | 04/03/2026 |
| Medicare PECOS PAC ID | 4789766379 |
|---|---|
| Medicare Enrollment ID | O20080205000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598952616 | NPI | - | NPPES |
| DQ9581 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A88331 (California) | Primary |
| Provider Name | Jerome P Lisk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821036500 PECOS PAC ID: 4082667159 Enrollment ID: I20080205000358 |
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