Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 9871 | TX |
NPI | 1255342168 |
---|---|
Provider Name | Mr. Robert Steven Barns |
First Address | Denton, TX 76205-7292 |
Second Address | Denton, TX 76205-7292 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
82862L | (02) | TX |