| Doctor Name: | KEVIN BARRON |
| NPI Number: | 1124484043 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA10473 |
| Business Practice Address: | 1501 Sw Wilshire Blvd Burleson, TX - 760288715 |
| Business Phone Number: | 8172959400 |
| Business Fax Number: | 8172959408 |
| Mailing Address: | Po Box 9101, COPPELL |
| State: | TX |
| Postal Code: | 750199494 |
| Phone Number: | 9727457500 |
| Fax Number: | 9724710700 |
| NPI Enumeration Date: | 01/07/2016 |
| NPI Last Update Date: | 04/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA10473 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |