Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | N0634 | TX |
N | 207R00000X | Internist | N0634 | TX |
N | 111NI0900X | Internist | N0634 | TX |
NPI | 1588628770 |
---|---|
Provider Name | Dr. Dennis Bernard Barson JR. |
First Address | Austin, TX 78728-7090 |
Second Address | Austin, TX 78728-7090 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 24/10/2011 |