Provider Demographics
NPI:1467559732
Name:NEDRY, BARBARA K (DC)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:K
Last Name:NEDRY
Suffix:
Gender:F
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 75250
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77234
Mailing Address - Country:US
Mailing Address - Phone:713-472-4414
Mailing Address - Fax:713-472-3016
Practice Address - Street 1:1210 ALLENDALE RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502
Practice Address - Country:US
Practice Address - Phone:713-472-4414
Practice Address - Fax:713-472-3016
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6813111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP08649228Medicaid
TXTXB112784Medicare PIN
TXP08649228Medicaid
TX605409Medicare PIN