Provider Demographics
NPI:1831308725
Name:BARNETT, MICHAEL ANDREW (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ANDREW
Last Name:BARNETT
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:12446 WEST AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2517
Mailing Address - Country:US
Mailing Address - Phone:210-525-1668
Mailing Address - Fax:210-525-1669
Practice Address - Street 1:11212 HIGHWAY 151
Practice Address - Street 2:BLDG 2 SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4498
Practice Address - Country:US
Practice Address - Phone:210-520-7000
Practice Address - Fax:210-520-7005
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2015-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM6519207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX332861901Medicaid
TX329904YXKLMedicare PIN