Provider Demographics
NPI:1841869690
Name:LIZNA ENTERPRISE LLC
Entity type:Organization
Organization Name:LIZNA ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHUMAILA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOOMRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-266-3635
Mailing Address - Street 1:2743 LEMONGRASS BREEZE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2761
Mailing Address - Country:US
Mailing Address - Phone:832-266-3635
Mailing Address - Fax:
Practice Address - Street 1:3777 SIENNA PKWY
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6015
Practice Address - Country:US
Practice Address - Phone:832-266-3635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Multi-Specialty
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine