Provider Demographics
NPI:1679784235
Name:BARRERA, GEORGE JAMES (CFA)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:JAMES
Last Name:BARRERA
Suffix:
Gender:M
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21739 HARDY OAK BLVD APT 2108
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-2365
Mailing Address - Country:US
Mailing Address - Phone:210-602-4243
Mailing Address - Fax:
Practice Address - Street 1:21739 HARDY OAK BLVD
Practice Address - Street 2:#2108
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-1715
Practice Address - Country:US
Practice Address - Phone:210-602-4243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist