| Doctor Name: | MELISSA ANN LISTER |
| NPI Number: | 1053759118 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 651257 |
| Business Practice Address: | 1700 Golden Ave Bay City, TX - 774143164 |
| Business Phone Number: | 9792452008 |
| Business Fax Number: | 9792450744 |
| Mailing Address: | 101 Avenue F N, BAY CITY |
| State: | TX |
| Postal Code: | 774143167 |
| Phone Number: | 9792452008 |
| Fax Number: | 9792450744 |
| NPI Enumeration Date: | 06/11/2013 |
| NPI Last Update Date: | 06/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 651257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |