Provider Demographics
NPI:1558492801
Name:MAGWIRE, BARBARA KAY (LP,CCP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:KAY
Last Name:MAGWIRE
Suffix:
Gender:F
Credentials:LP,CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 E HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-4634
Mailing Address - Country:US
Mailing Address - Phone:903-785-8831
Mailing Address - Fax:
Practice Address - Street 1:845 E HOUSTON ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-4634
Practice Address - Country:US
Practice Address - Phone:903-785-8831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPF0539246X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist Cardiovascular