Provider Demographics
NPI:1134121650
Name:BARTON, LORRAINE RUTH (PNP)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:RUTH
Last Name:BARTON
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7108 BANDERA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-1203
Mailing Address - Country:US
Mailing Address - Phone:210-680-2400
Mailing Address - Fax:830-310-8156
Practice Address - Street 1:7108 BANDERA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1203
Practice Address - Country:US
Practice Address - Phone:210-680-2400
Practice Address - Fax:830-310-8156
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX675197174400000X
TXAP112639363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No174400000XOther Service ProvidersSpecialist