Provider Demographics
NPI:1033119516
Name:BARNES, NATHANIEL L (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:L
Last Name:BARNES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:250 BLOSSOM ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4204
Mailing Address - Country:US
Mailing Address - Phone:281-332-0202
Mailing Address - Fax:281-332-5266
Practice Address - Street 1:250 BLOSSOM ST
Practice Address - Street 2:SUITE 220
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4204
Practice Address - Country:US
Practice Address - Phone:281-332-0202
Practice Address - Fax:281-332-0202
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2021-03-28
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Provider Licenses
StateLicense IDTaxonomies
TXK5799208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX044063801Medicaid
TX044063801Medicaid