MEDICARE: LISETTE BARTON FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	516527	TX

General Provider Information

NPI Number	:	1609044379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISETTE BARTON FNP

Provider Business Mailing Address
First Line	:	8150 SOUTHWEST FWY
Second Line	:	STE C
City	:	HOUSTON
State	:	TX
Zip	:	77074-1719
Country	:	US
Telephone Number	:	713-981-1605
Fax Number	:

Provider Business Practice Location Address
First Line	:	8150 SOUTHWEST FWY
Second Line	:	STE C
City	:	HOUSTON
State	:	TX
Zip	:	77074-1719
Country	:	US
Telephone Number	:	713-981-1605
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2008
Last Update Date	:	02/15/2008

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