Doctor Name: | DR. JERRY WAYNE BARKER |
NPI Number: | 1609974856 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 0108948 |
Business Practice Address: | 8001 N Mesa St Bld. E #325 El Paso, TX - 799321736 |
Business Phone Number: | 9155909355 |
Business Fax Number: | 9155909361 |
Mailing Address: | 1525 Common Dr, Ste. A EL PASO |
State: | TX |
Postal Code: | 799365934 |
Phone Number: | 9155909355 |
Fax Number: | 9155909361 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 05/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0108948 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |