Doctor Name: | DAVINA BARRON |
NPI Number: | 1639533433 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | AP130182 |
Business Practice Address: | 5333 Fossil Creek Blvd #335 Haltom City, TX - 761372839 |
Business Phone Number: | 8179158339 |
Business Fax Number: | |
Mailing Address: | 5333 Fossil Creek Blvd, #335 HALTOM CITY |
State: | TX |
Postal Code: | 761372839 |
Phone Number: | 8179158339 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2016 |
NPI Last Update Date: | 04/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | AP130182 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |