Provider Demographics
NPI:1639885643
Name:TRIPLE BARRY CORPORATION
Entity Type:Organization
Organization Name:TRIPLE BARRY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:YBARRA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:817-374-5606
Mailing Address - Street 1:5177 E INTERSTATE 20 SERVICE RD N STE 101
Mailing Address - Street 2:
Mailing Address - City:WILLOW PARK
Mailing Address - State:TX
Mailing Address - Zip Code:76087-3217
Mailing Address - Country:US
Mailing Address - Phone:817-609-8166
Mailing Address - Fax:
Practice Address - Street 1:5177 E INTERSTATE 20 SERVICE RD N STE 101
Practice Address - Street 2:
Practice Address - City:WILLOW PARK
Practice Address - State:TX
Practice Address - Zip Code:76087-3217
Practice Address - Country:US
Practice Address - Phone:817-609-8166
Practice Address - Fax:817-609-8162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care