Provider Demographics
NPI:1326377201
Name:DAVID T. BARR, MD PA
Entity Type:Organization
Organization Name:DAVID T. BARR, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:THURSTON
Authorized Official - Last Name:BARR
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:979-548-5888
Mailing Address - Street 1:303 N MCKINNEY ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:SWEENY
Mailing Address - State:TX
Mailing Address - Zip Code:77480-2800
Mailing Address - Country:US
Mailing Address - Phone:979-548-5888
Mailing Address - Fax:979-548-7700
Practice Address - Street 1:303 N MCKINNEY ST
Practice Address - Street 2:SUITE C
Practice Address - City:SWEENY
Practice Address - State:TX
Practice Address - Zip Code:77480-2800
Practice Address - Country:US
Practice Address - Phone:979-548-5888
Practice Address - Fax:979-548-7700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3132261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137126204Medicaid
TX137126204Medicaid
TXGP01Medicare PIN