Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 9435 | TX |
NPI | 1003954447 |
---|---|
Provider Name | Dr. Lee Michele Barker |
First Address | Houston, TX 77258-8823 |
Second Address | Houston, TX 77058-2548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 22/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
061708784 | TAX ID (01) | TX |