Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | K5799 | TX |
NPI | 1033119516 |
---|---|
Provider Name | Dr. Nathaniel L Barnes |
First Address | Webster, TX 77598-4204 |
Second Address | Webster, TX 77598-4204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2005 |
Last Update Date | 28/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
044063801 | (05) | TX |
G78227 | (02) | TX |