Provider Demographics
NPI:1639567969
Name:BARNES, DANIEL (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:BARNES
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 SWEET GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-2125
Mailing Address - Country:US
Mailing Address - Phone:713-897-2549
Mailing Address - Fax:
Practice Address - Street 1:131 SWEET GARDEN DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-2125
Practice Address - Country:US
Practice Address - Phone:713-897-2549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT1305171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor