Provider Demographics
NPI:1760837736
Name:AGNANT MALEBRANCHE, LISE VALERIE (MD, MPH, MBA)
Entity Type:Individual
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First Name:LISE
Middle Name:VALERIE
Last Name:AGNANT MALEBRANCHE
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Gender:F
Credentials:MD, MPH, MBA
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Mailing Address - Street 1:2102 TREASURE HILLS BLVD
Mailing Address - Street 2:#3.144.05
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8736
Mailing Address - Country:US
Mailing Address - Phone:956-296-1437
Mailing Address - Fax:956-296-1326
Practice Address - Street 1:2101 PEASE ST
Practice Address - Street 2:PROFESSIONAL BUILDING, SUITE 407
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8307
Practice Address - Country:US
Practice Address - Phone:956-421-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2023-10-02
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Provider Licenses
StateLicense IDTaxonomies
TXBP10055730208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist