Provider Demographics
NPI:1619193257
Name:LISTER, BARBARA JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JANE
Last Name:LISTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3714 OLYMPIA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-3030
Mailing Address - Country:US
Mailing Address - Phone:713-828-5945
Mailing Address - Fax:
Practice Address - Street 1:3714 OLYMPIA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-3030
Practice Address - Country:US
Practice Address - Phone:713-828-5945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6882207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology