Provider Demographics
NPI:1972070597
Name:BARRERAS, JANIER ERNESTO
Entity Type:Individual
Prefix:
First Name:JANIER
Middle Name:ERNESTO
Last Name:BARRERAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15770 BELLAIRE BLVD APT 502
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-3004
Mailing Address - Country:US
Mailing Address - Phone:239-370-7442
Mailing Address - Fax:
Practice Address - Street 1:1200 BINZ ST STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6944
Practice Address - Country:US
Practice Address - Phone:713-520-1210
Practice Address - Fax:713-400-8302
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant