Provider Demographics
NPI:1770182446
Name:TPAB MEDICAL
Entity Type:Organization
Organization Name:TPAB MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:870-206-9920
Mailing Address - Street 1:PO BOX 483
Mailing Address - Street 2:
Mailing Address - City:BROOKLAND
Mailing Address - State:AR
Mailing Address - Zip Code:72417-0483
Mailing Address - Country:US
Mailing Address - Phone:870-206-9920
Mailing Address - Fax:870-206-9919
Practice Address - Street 1:406 HONEY SUCKLE
Practice Address - Street 2:
Practice Address - City:BROOKLAND
Practice Address - State:AR
Practice Address - Zip Code:72417-8980
Practice Address - Country:US
Practice Address - Phone:870-206-9920
Practice Address - Fax:870-206-9919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies