Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | J6320 | TX |
Y | 207RX0202X | Medical Oncology | J6320 | TX |
NPI | 1063444297 |
---|---|
Provider Name | Dr. David N Barrera |
First Address | Dallas, TX 75391-1230 |
Second Address | Fort Worth, TX 76132-4136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 03/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
117061501 | (05) | TX |
117061502 | (05) | TX |
117061505 | (05) | TX |
8R1392 | BLUE CROSS OF TEXAS (01) | TX |
G78878 | (02) | TX |