Provider Demographics
NPI:1487832887
Name:BARLOW, CARRIE CHANDLER (PA-C)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:CHANDLER
Last Name:BARLOW
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6802 ESTHER DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-3136
Mailing Address - Country:US
Mailing Address - Phone:405-203-0500
Mailing Address - Fax:
Practice Address - Street 1:1512 TOWN CENTER DR
Practice Address - Street 2:SUITE 100
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-7678
Practice Address - Country:US
Practice Address - Phone:512-324-4875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06478363AM0700X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical