Provider Demographics
NPI:1790944361
Name:RENTON, BARNEY JOSEPH III (PT)
Entity Type:Individual
Prefix:MR
First Name:BARNEY
Middle Name:JOSEPH
Last Name:RENTON
Suffix:III
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5822 DRYAD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-4209
Mailing Address - Country:US
Mailing Address - Phone:713-857-7045
Mailing Address - Fax:713-723-0771
Practice Address - Street 1:5822 DRYAD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4209
Practice Address - Country:US
Practice Address - Phone:713-857-7045
Practice Address - Fax:713-723-0771
Is Sole Proprietor?:No
Enumeration Date:2008-06-08
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1055648225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W860Medicare PIN