Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 0202 | TX |
N | 111NN1001X | Nutrition | 9211 | TX |
NPI | 1811002074 |
---|---|
Provider Name | Dr. Garrett Bary |
First Address | Austin, TX 78759-6391 |
Second Address | Austin, TX 78759-6391 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 04/01/2012 |