Provider Demographics
NPI:1114294592
Name:BARNES, JASON B (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:B
Last Name:BARNES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2601 HOSPITAL BLVD STE 117
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78405-1876
Mailing Address - Country:US
Mailing Address - Phone:361-902-4470
Mailing Address - Fax:361-902-4588
Practice Address - Street 1:2601 HOSPITAL BLVD STE 117
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-1876
Practice Address - Country:US
Practice Address - Phone:361-902-4470
Practice Address - Fax:361-902-4588
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-29
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8445207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine