Provider Demographics
NPI:1043205636
Name:BARNARD FAMILY HEALTH CENTERS PA
Entity Type:Organization
Organization Name:BARNARD FAMILY HEALTH CENTERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARNARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-469-7704
Mailing Address - Street 1:21216 NORTHWEST FWY
Mailing Address - Street 2:SUITE 620
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1439
Mailing Address - Country:US
Mailing Address - Phone:281-469-7704
Mailing Address - Fax:281-469-4066
Practice Address - Street 1:21216 NORTHWEST FWY
Practice Address - Street 2:SUITE 620
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1439
Practice Address - Country:US
Practice Address - Phone:281-469-7704
Practice Address - Fax:281-469-4066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00889NOtherMEDICARE GROUP NUMBER