Provider Demographics
NPI:1124208160
Name:MARK A. BARINQUE, DPM,PA
Entity Type:Organization
Organization Name:MARK A. BARINQUE, DPM,PA
Other - Org Name:PLAINS PODIATRY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:BARINQUE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:806-793-6811
Mailing Address - Street 1:PO BOX 94161
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79493-4161
Mailing Address - Country:US
Mailing Address - Phone:806-793-6811
Mailing Address - Fax:806-793-9278
Practice Address - Street 1:2204 ITHACA AVE
Practice Address - Street 2:SUITE C
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1300
Practice Address - Country:US
Practice Address - Phone:806-793-6811
Practice Address - Fax:806-793-9278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1250213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092825102Medicaid
TX4116390001Medicare NSC
TX00N61CMedicare PIN
TX092825102Medicaid