Individual
MR. BARRY LYNN LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7155 COLLEYVILLE BLVD, COLLEYVILLE, TX 76034-8003
(817) 421-4400
(817) 416-1451
Mailing address
7155 COLLEYVILLE BLVD, COLLEYVILLE, TX 76034-8003
(817) 421-4400
(817) 416-1451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
273768947
TX
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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