Provider Demographics
NPI:1508065624
Name:BARBARA PIKE, M.D., P.A.
Entity Type:Organization
Organization Name:BARBARA PIKE, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:HANKINSON
Authorized Official - Last Name:PIKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-686-0550
Mailing Address - Street 1:770 S HIGHWAY 377
Mailing Address - Street 2:SUITE #208
Mailing Address - City:PILOT POINT
Mailing Address - State:TX
Mailing Address - Zip Code:76258-4471
Mailing Address - Country:US
Mailing Address - Phone:940-686-0550
Mailing Address - Fax:940-686-0440
Practice Address - Street 1:770 S HIGHWAY 377
Practice Address - Street 2:SUITE #208
Practice Address - City:PILOT POINT
Practice Address - State:TX
Practice Address - Zip Code:76258-4471
Practice Address - Country:US
Practice Address - Phone:940-686-0550
Practice Address - Fax:940-686-0440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6664208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8776B9OtherMEDICARE INDIVIDUAL PROVI
TX10007838OtherAMERIGROUP TPI NUMBER
TXJ6664OtherLICENSE NUMBER
TX8G2732OtherBLUE CROSS BLUE SHIELD PR
TX1851376016OtherINDIVIDUAL NPI NUMBER
TX00186UOtherMEDICARE PTAN LEGACY GROU
G22490Medicare UPIN