Provider Demographics
NPI:1609005016
Name:GENE N. BARRY, M.D., P.A.
Entity Type:Organization
Organization Name:GENE N. BARRY, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-896-5400
Mailing Address - Street 1:2900 NORTH ST
Mailing Address - Street 2:STE 310
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1541
Mailing Address - Country:US
Mailing Address - Phone:409-896-5400
Mailing Address - Fax:409-896-5383
Practice Address - Street 1:2900 NORTH ST
Practice Address - Street 2:STE 310
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1541
Practice Address - Country:US
Practice Address - Phone:409-896-5400
Practice Address - Fax:409-896-5383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9780261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center