Provider Demographics
NPI:1427229103
Name:BARANOWSKI, JUANITA GARCIA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JUANITA
Middle Name:GARCIA
Last Name:BARANOWSKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1050 N WESTMORELAND RD
Mailing Address - Street 2:SUITE 432
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75211-2444
Mailing Address - Country:US
Mailing Address - Phone:214-333-3033
Mailing Address - Fax:
Practice Address - Street 1:1050 N WESTMORELAND RD
Practice Address - Street 2:SUITE 432
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-2444
Practice Address - Country:US
Practice Address - Phone:214-333-3033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02478363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical