Provider Demographics
NPI:1235224668
Name:BARTON, RICHARD A JR
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:A
Last Name:BARTON
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7527 NW ROLANDO RD
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505
Mailing Address - Country:US
Mailing Address - Phone:580-458-3600
Mailing Address - Fax:580-458-3601
Practice Address - Street 1:DEPARTMENT OF BEHAVIORAL HEALTH
Practice Address - Street 2:RENYOLDS ARMY COMMUNITY HOSPITAL
Practice Address - City:FT SILL
Practice Address - State:OK
Practice Address - Zip Code:73503
Practice Address - Country:US
Practice Address - Phone:580-458-3600
Practice Address - Fax:580-458-3601
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW004661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical