Provider Demographics
NPI:1417932187
Name:BARRON, ERIC R (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:R
Last Name:BARRON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:847 RIDGEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8645
Mailing Address - Country:US
Mailing Address - Phone:956-541-1013
Mailing Address - Fax:956-541-5440
Practice Address - Street 1:847 RIDGEWOOD ST
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8645
Practice Address - Country:US
Practice Address - Phone:956-541-1013
Practice Address - Fax:956-541-5440
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ1863207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX119326002Medicaid
TX0525460001Medicare NSC