Provider Demographics
NPI:1922159912
Name:COURTNEY, BARBARA (DMD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:COURTNEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11266 TAYLOR DRAPER LN
Mailing Address - Street 2:#2321
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-2466
Mailing Address - Country:US
Mailing Address - Phone:512-796-0206
Mailing Address - Fax:512-342-8194
Practice Address - Street 1:11266 TAYLOR DRAPER LN
Practice Address - Street 2:#2321
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-2466
Practice Address - Country:US
Practice Address - Phone:512-796-0206
Practice Address - Fax:512-342-8194
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17011122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223G0001XDental ProvidersDentistGeneral Practice