Individual
MRS. LISA JEAN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2709 HOSPITAL BLVD, GRAND PRAIRIE, TX 75051-1017
(954) 551-7524
Mailing address
2709 HOSPITAL BLVD, GRAND PRAIRIE, TX 75051-1017
(954) 551-7524
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05162
TX
Other
Enumeration date
06/17/2010
Last updated
12/20/2011
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