Individual provider · NPI-1

Lisa Jean Barnes, PA-C

Physician Assistant, Medical · Grand Prairie, TX

NPI number1194046797
StatusActive
Last updated in NPPESDec 20, 2011

Details

NPI
1194046797
Entity type
Individual (NPI-1)
Name
Mrs. Lisa Jean Barnes
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 17, 2010
Last updated
Dec 20, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA05162TXYes

Practice location

2709 Hospital Blvd
Grand Prairie, TX 75051-1017

Phone 954-551-7524

Mailing address

2709 Hospital Blvd
Grand Prairie, TX 75051-1017

Phone 954-551-7524

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