Provider Demographics
NPI:1043693823
Name:BARRERA, DANIEL AUGUSTO (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:AUGUSTO
Last Name:BARRERA
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:8930 W SUNSET RD STE 300
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5013
Mailing Address - Country:US
Mailing Address - Phone:702-258-7788
Mailing Address - Fax:702-446-0371
Practice Address - Street 1:10001 S EASTERN AVE STE 310
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3908
Practice Address - Country:US
Practice Address - Phone:702-914-2420
Practice Address - Fax:702-914-6653
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVDO2959208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery