Provider Demographics
NPI:1518901115
Name:BARKER, LARRY JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:JAMES
Last Name:BARKER
Suffix:
Gender:M
Credentials:MD
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 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:2800 HIGHWAY 75 NORTH
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-0504
Practice Address - Country:US
Practice Address - Phone:903-892-9455
Practice Address - Fax:903-892-4910
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6223207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138539507Medicaid
TX138539508Medicaid
TX138539510Medicaid
TX138539513Medicaid
TX8R1391OtherBLUE CROSS OF TEXAS
TX138539501Medicaid
TX138539502Medicaid
TX138539504Medicaid
TX138539505Medicaid
OK100084380AMedicaid
TX138539503Medicaid
TX8R1391OtherBLUE CROSS OF TEXAS
TX138539513Medicaid
TX88116KMedicare PIN
TXC13160Medicare UPIN
TX138539503Medicaid
TX138539507Medicaid