Provider Demographics
NPI:1851540512
Name:LISNE, JAMES RAY
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:RAY
Last Name:LISNE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 VERMONT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-1041
Mailing Address - Country:US
Mailing Address - Phone:281-865-3195
Mailing Address - Fax:
Practice Address - Street 1:1525 VERMONT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-1041
Practice Address - Country:US
Practice Address - Phone:281-865-3195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance