Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | A95717 | CA |
Y | 207YS0123X | Facial Plastic Surgeon | N3480 | TX |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 39421 | CO |
N | 2086S0122X | Plastic and Reconstructive Surgery | N3480 | TX |
NPI | 1619966686 |
---|---|
Provider Name | Dr. Jose Enrique Barrera |
First Address | San Antonio, TX 78230-5469 |
Second Address | San Antonio, TX 78230-7823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2005 |
Last Update Date | 19/02/2020 |