Provider Demographics
NPI:1679581359
Name:BARBA, CARLOS ALBERTO (MD)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:ALBERTO
Last Name:BARBA
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 1:4970 N EXPRESSWAY
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4268
Mailing Address - Country:US
Mailing Address - Phone:956-621-4981
Mailing Address - Fax:956-621-4994
Practice Address - Street 1:4970 N EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4268
Practice Address - Country:US
Practice Address - Phone:956-621-4981
Practice Address - Fax:956-621-4994
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP7385208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001331066Medicaid
CT202928529OtherUNITED HEALTHCARE
CTP3887114OtherOXFORD HEALTH PLAN
CT010033106CT03OtherBLUE CROSS BLUE SHIELD
CT00133106602OtherBLUE CARE FAMILY PLAN
CT1200451-012OtherCIGNA
CT2V6493OtherHEALTHNET
CT3962260OtherAETNA
CT622478OtherCONNECTICARE
CT2V6493OtherHEALTHNET
CT622478OtherCONNECTICARE