Provider Demographics
NPI:1740285360
Name:HITCHINS, LISA DEMPSEY (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:DEMPSEY
Last Name:HITCHINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:17110 MUESCHKE RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4307
Mailing Address - Country:US
Mailing Address - Phone:281-256-2000
Mailing Address - Fax:281-256-2013
Practice Address - Street 1:17110 MUESCHKE RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-4307
Practice Address - Country:US
Practice Address - Phone:281-256-2000
Practice Address - Fax:281-256-2013
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3261207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH34955Medicare UPIN
TX8G1989Medicare PIN