Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | E-1809 | TX |
NPI | 1184625873 |
---|---|
Provider Name | Dr. Douglas A. Barnes |
First Address | Houston, TX 77030 |
Second Address | Houston, TX 77030-3701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 23/06/2011 |