Theresa Lisenby, RN,CEO, INSTRUCTOR

NPI 1073790358 · on the registry since 2008

Practice

Address: 7471 Fm 3094
Scurry, TX 75158
Phone: (972) 452-3337
Fax: (972) 452-3331
Organisation at this address: Prospect Mountain Therapeutic Riding Center
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 163WM0705X
163WM0705X
Also registered as: 174400000X
225500000X
225800000X
390200000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas