Provider Demographics
NPI:1346259371
Name:BARKMAN, RON W (PT)
Entity Type:Individual
Prefix:MR
First Name:RON
Middle Name:W
Last Name:BARKMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 BEDFORD ROAD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-5707
Mailing Address - Country:US
Mailing Address - Phone:817-283-9435
Mailing Address - Fax:817-571-4198
Practice Address - Street 1:1940 BEDFORD ROAD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5707
Practice Address - Country:US
Practice Address - Phone:817-283-9435
Practice Address - Fax:817-571-4198
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1057321225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87723501Medicaid
TX8D2546Medicare ID - Type UnspecifiedDALLAS MEDICARE NUMBER
TX8D1370Medicare ID - Type UnspecifiedMEDICARE TARRANT
TX87723501Medicaid
TX00129YMedicare ID - Type UnspecifiedGROUP TARRANT