Search › Texas › 225100000X
Lisa Icke
NPI 1316497092 · on the registry since 2016
Practice
- Address
- 16911 Redland Downs
San Antonio, TX 78247 - Phone
- (210) 445-0241
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-28
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