Individual provider · NPI-1

Dr. Jerome P Lisk, MD, MBA

Psychiatry & Neurology, Neurology · Denton, TX

NPI number1821036500
StatusActive
Last updated in NPPESApr 3, 2026

Details

NPI
1821036500
Entity type
Individual (NPI-1)
Name
Dr. Jerome P Lisk
Credential
MD, MBA
Sex
Male
Sole proprietor
No
Enumeration date
Jun 3, 2006
Certification date
Apr 3, 2026
Last updated
Apr 3, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyR1074TXYes
2084N0400X Psychiatry & Neurology, Neurology2004029825MO
2084N0400X Psychiatry & Neurology, NeurologyA88331CA

Practice location

3537 S I 35 E Ste 112
Denton, TX 76210-6868

Phone 940-383-1770 · Fax 833-992-0840

Mailing address

3537 S I 35 E Ste 112
Denton, TX 76210-6868

Phone 940-383-1770 · Fax 833-992-0840

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