Provider Demographics
NPI:1871970632
Name:LIZT, INC
Entity type:Organization
Organization Name:LIZT, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LIZANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:TIJERINA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-800-5502
Mailing Address - Street 1:1418 BEECH AVE
Mailing Address - Street 2:SUITE 131
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5193
Mailing Address - Country:US
Mailing Address - Phone:956-800-5502
Mailing Address - Fax:956-800-5503
Practice Address - Street 1:1418 BEECH AVE
Practice Address - Street 2:SUITE 131
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5193
Practice Address - Country:US
Practice Address - Phone:956-800-5502
Practice Address - Fax:956-800-5503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care