Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | M3465 | TX |
NPI | 1336120328 |
---|---|
Provider Name | Dr. John Wesley Barrington |
First Address | Plano, TX 75093-8171 |
Second Address | Plano, TX 75093-8171 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2005 |
Last Update Date | 26/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
462227 | TUFTS HEALTH PLAN (01) | MA |
I36814 | (02) | |
J28845 | BCBS MA (01) | MA |