Provider Demographics
NPI:1538393681
Name:PRAY, LISA MARTIN (DC)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:MARTIN
Last Name:PRAY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5116 HARDAWAY CIR
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-2203
Mailing Address - Country:US
Mailing Address - Phone:214-469-6059
Mailing Address - Fax:972-625-5028
Practice Address - Street 1:2515 HIGHWAY 180 W STE A
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:TX
Practice Address - Zip Code:76067-8295
Practice Address - Country:US
Practice Address - Phone:940-452-9111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor