Provider Demographics
NPI:1114015195
Name:BARBER, MICAH (DC)
Entity Type:Individual
Prefix:DR
First Name:MICAH
Middle Name:
Last Name:BARBER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 S SEGUIN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7647
Mailing Address - Country:US
Mailing Address - Phone:830-629-9903
Mailing Address - Fax:830-620-9073
Practice Address - Street 1:624 S SEGUIN AVE STE A
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7647
Practice Address - Country:US
Practice Address - Phone:830-629-9903
Practice Address - Fax:830-620-9073
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9250111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX319180YT4UMedicare PIN
TX8G3558Medicare PIN
TXU94149Medicare UPIN