Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | H6027 | TX |
Y | 213ES0000X | Sports Medicine | H6027 | TX |
NPI | 1316949514 |
---|---|
Provider Name | Mariellen Barker |
First Address | Houston, TX 77065-3840 |
Second Address | Houston, TX 77065-3840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 28/07/2016 |