Provider Demographics
NPI:1265683759
Name:BARNHART, SUSAN MARY (PA)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:MARY
Last Name:BARNHART
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:PO BOX 5409
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79608-5409
Mailing Address - Country:US
Mailing Address - Phone:325-793-5218
Mailing Address - Fax:325-793-5357
Practice Address - Street 1:1665 ANTILLEY RD
Practice Address - Street 2:SUITE 120
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5265
Practice Address - Country:US
Practice Address - Phone:325-793-5148
Practice Address - Fax:325-793-5147
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2011-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA03890363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant