Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Havick, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1063878288

Lisa Havick, AGACNP is a Nurse Practitioner in Dallas, Texas. Qualified in 2015, 11 years ago. Practices with Urgent Surgery Associates PA, a 57-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2016
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Practice location Address checks out

3500 Gaston Ave
Dallas, TX 75246
Phone: (214) 820-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1810 Turner Ridge Dr Apt 9305, Fort Worth, TX 76110-7415 — (402) 430-3782

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP129579 (TX)

Record details

NPI number1063878288
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJanuary 4, 2016
Last updated in NPPESNovember 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Urgent Surgery Associates Pa — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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