Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | F7972 | TX |
NPI | 1013028364 |
---|---|
Provider Name | Dr. Vincent Peter Barr |
First Address | Desoto, TX 75115-2076 |
Second Address | Desoto, TX 75115-2076 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C13197 | (02) |