Provider Demographics
NPI:1437253002
Name:BARNES, ROBERT EVERETT (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EVERETT
Last Name:BARNES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 818
Mailing Address - Street 2:206 WEST PECAN ST
Mailing Address - City:COLEMAN
Mailing Address - State:TX
Mailing Address - Zip Code:76834
Mailing Address - Country:US
Mailing Address - Phone:325-625-2783
Mailing Address - Fax:
Practice Address - Street 1:206 WEST PECAN ST
Practice Address - Street 2:
Practice Address - City:COLEMAN
Practice Address - State:TX
Practice Address - Zip Code:76834
Practice Address - Country:US
Practice Address - Phone:325-625-2783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC4830111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601971Medicare ID - Type Unspecified
T12075Medicare UPIN