Lister, Zackary Gene

Lister, Zackary Gene is an individual health care provider with primary practice located at 906 Judson Rd , Longview TX 75601-5113. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Lister, Zackary Gene can be contacted via phone (903) 655-1313.

Contact Information

Primary practice address
906 Judson Rd Longview TX 75601-5113
Phone: (903) 655-1313
Fax: (903) 657-6067
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 50896 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 616894 Texas

Profile Details

NPI number 1336196443
LBN Legal business name Lister, Zackary Gene
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Mar 3rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336196443 NPPES
Texas MEDICAID 147942003
Texas MEDICAID 147943802

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