Provider Demographics
NPI:1417600131
Name:BARRIENTOS, RUBEN II (DC)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:
Last Name:BARRIENTOS
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:BARRIENTOS
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1681 JUSTIN RD
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-4323
Mailing Address - Country:US
Mailing Address - Phone:972-355-0083
Mailing Address - Fax:
Practice Address - Street 1:1681 JUSTIN RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-4323
Practice Address - Country:US
Practice Address - Phone:972-355-0083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14999111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor