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

Mrs. Lisa Marie Davila, FAMILYNURSEPRACTIT

Individual provider Family Nurse Practitioner · NPI 1972141158

Mrs. Lisa Marie Davila, FAMILYNURSEPRACTIT is a Nurse Practitioner in Beaumont, Texas. Qualified in 2018, 8 years ago. Practices with Legacy Community Health Services, Inc, a 149-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2019

Practice location Address checks out

14870 Michelle Ln
Beaumont, TX 77713-2308
Phone: (409) 454-6009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP143556 (TX)

Record details

NPI number1972141158
Entity typeIndividual (Type 1)
GenderFemale
Credentials FAMILYNURSEPRACTIT
Sole proprietorNo
NPI enumeratedDecember 18, 2019
Last updated in NPPESDecember 18, 2019
Certification dateDecember 18, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Legacy Community Health Services, Inc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Beaumont