Provider Demographics
NPI:1780812412
Name:LEMENS, CORA TERESA (PA)
Entity type:Individual
Prefix:MRS
First Name:CORA
Middle Name:TERESA
Last Name:LEMENS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:964 TERRACOTTA DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-4871
Mailing Address - Country:US
Mailing Address - Phone:972-934-1931
Mailing Address - Fax:
Practice Address - Street 1:1927 E BELT LINE RD
Practice Address - Street 2:#146
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-5821
Practice Address - Country:US
Practice Address - Phone:972-820-8662
Practice Address - Fax:972-820-8664
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04424363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant