Provider Demographics
NPI:1346572955
Name:NOVUS ORDO
Entity Type:Organization
Organization Name:NOVUS ORDO
Other - Org Name:PHYSICIANS IN-HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-459-6221
Mailing Address - Street 1:22258 GOLDCREST RUN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-3555
Mailing Address - Country:US
Mailing Address - Phone:210-255-7445
Mailing Address - Fax:830-438-4742
Practice Address - Street 1:22258 GOLDCREST RUN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-3555
Practice Address - Country:US
Practice Address - Phone:210-255-7445
Practice Address - Fax:830-438-4742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-06
Last Update Date:2010-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty