Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | K7655 | TX |
NPI | 1205827516 |
---|---|
Provider Name | Lyndon F Barnwell |
First Address | Houston, TX 77210-4346 |
Second Address | Houston, TX 77047-1923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 31/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
149280301 | (05) | TX |
149280303 | (05) | TX |
149280304 | (05) | TX |
H55355 | (02) |