Doctor Name: | GREG BARRETT |
NPI Number: | 1215957915 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A. |
License Number: | PA03430 |
Business Practice Address: | 105 Medical Plz Sulphur Springs, TX - 754822136 |
Business Phone Number: | 9038853181 |
Business Fax Number: | 9038851329 |
Mailing Address: | Po Box 1367, SULPHUR SPRINGS |
State: | TX |
Postal Code: | 754831367 |
Phone Number: | 9038853181 |
Fax Number: | 9038851329 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 08/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA03430 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |