Individual
LISA S. BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
210 THUNDERBIRD DR STE T, EL PASO, TX 79912-3910
(915) 300-0287
(915) 314-0474
Mailing address
5833 VIA CUESTA DR, EL PASO, TX 79912-6610
(915) 539-7841
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
35.096055
OH
208100000X
Physical Medicine & Rehabilitation Physician
MD2020-0734
NM
208100000X
Physical Medicine & Rehabilitation Physician
Primary
Q7639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000679326
ANTHEM
OH
05
—
23738839
—
NM
05
—
3100996
—
OH
05
—
3810018857
—
WV
05
—
391322001
—
TX
01
—
4305841
MCR
OH
01
—
7420591
MCR
OH
01
—
P00877476
RRMCR
OH
Enumeration date
02/18/2007
Last updated
11/02/2023
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