Provider Demographics
NPI:1689808719
Name:PILCHER, BARRY RICHARD (DC)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:RICHARD
Last Name:PILCHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 TITUS ST
Mailing Address - Street 2:
Mailing Address - City:GILMER
Mailing Address - State:TX
Mailing Address - Zip Code:75644-1735
Mailing Address - Country:US
Mailing Address - Phone:903-680-2240
Mailing Address - Fax:903-680-2439
Practice Address - Street 1:521 TITUS ST
Practice Address - Street 2:
Practice Address - City:GILMER
Practice Address - State:TX
Practice Address - Zip Code:75644-1735
Practice Address - Country:US
Practice Address - Phone:903-680-2240
Practice Address - Fax:903-680-2439
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11183111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor