Provider Demographics
NPI:1417925314
Name:BARROW, ANGELA H (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:H
Last Name:BARROW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 AUTUMN RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3606
Mailing Address - Country:US
Mailing Address - Phone:501-221-2900
Mailing Address - Fax:501-221-0615
Practice Address - Street 1:600 AUTUMN RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3606
Practice Address - Country:US
Practice Address - Phone:501-221-2900
Practice Address - Fax:501-221-0615
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC7654207Q00000X
ARC-7654207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5J439OtherBLUE CROSS BLUE SHIELD
AR125644001Medicaid
AR5J439OtherARKANSAS
AR5J439OtherBLUE CROSS BLUE SHIELD