Individual provider · NPI-1

Lis Carol Bernuy, M.D.

Emergency Medicine · Bryan, TX

NPI number1154613735
StatusActive
Last updated in NPPESOct 8, 2025

Details

NPI
1154613735
Entity type
Individual (NPI-1)
Name
Lis Carol Bernuy
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2011
Certification date
Oct 8, 2025
Last updated
Oct 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine64163CTYes
207Q00000X Family Medicine4301098212MI
207Q00000X Family MedicineQ0413TX

Other names

  • Lis Carol Cruz (Other Name)

Practice location

1612 W Villa Maria Rd Ste 130
Bryan, TX 77807-2309

Phone 979-690-4836 · Fax 979-690-4837

Mailing address

2800 S Texas Ave
Suite 202
Bryan, TX 77802-5361

Phone 979-774-2060 · Fax 979-776-5914

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