Provider Demographics
NPI:1407300817
Name:BARRIOS, ARIC (NP)
Entity Type:Individual
Prefix:
First Name:ARIC
Middle Name:
Last Name:BARRIOS
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13027 STATE HIGHWAY 155 S
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-6548
Mailing Address - Country:US
Mailing Address - Phone:903-893-1000
Mailing Address - Fax:903-630-8048
Practice Address - Street 1:13027 STATE HIGHWAY 155 S
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-6548
Practice Address - Country:US
Practice Address - Phone:903-893-1000
Practice Address - Fax:903-630-8048
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131740363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily