Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 6141 | TX |
NPI | 1609873207 |
---|---|
Provider Name | Dr. Richard Frank Barrett |
First Address | Missouri City, TX 77459-6141 |
Second Address | Missouri City, TX 77459-6141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2005 |
Last Update Date | 06/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001719601 | (05) | TX |
U45346 | (02) | TX |