Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA DANIELLE BROSTROM, MD, FACS
Active Sole ProprietorDR. LISA DANIELLE BROSTROM, MD, FACS is a Plastic Surgery healthcare provider located in FORT SAM HOUSTON, Texas. NPI 1124197173 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · FORT SAM HOUSTON, TX
Registration Details
- NPI Number
- 1124197173
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2006 (19.728055758768 yrs)
- Last Updated
- Sep 12, 2019
- License
-
L4266 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3551 ROGER BROOKE DR BLDG 3600FORT SAM HOUSTON, TX, 782344504Browse TX providers · Browse ZIP 78234
- Phone
- 2102696113
- Primary Specialty
-
Plastic Surgery
208200000X
Other Plastic Surgery Providers in FORT SAM HOUSTON, TX
| Name | Credential | NPI |
|---|---|---|
| DR. MEGAN MARIE BURGESS | M.D. | 1720291941 |
| DR. FAWN S HOGAN | M.D. | 1588879316 |
| DR. CODY JAMES PHILLIPS | D.O. | 1881018430 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.