Provider Demographics
NPI:1275144651
Name:RICHARD D BARRERA MD PA
Entity Type:Organization
Organization Name:RICHARD D BARRERA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-205-5293
Mailing Address - Street 1:210 S BRYAN RD STE 1
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-6208
Mailing Address - Country:US
Mailing Address - Phone:956-581-7481
Mailing Address - Fax:956-580-2657
Practice Address - Street 1:210 S BRYAN RD STE 1
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6208
Practice Address - Country:US
Practice Address - Phone:956-581-7481
Practice Address - Fax:956-580-2657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty