Provider Demographics
NPI:1982655684
Name:BARBOSA, VERA LF (MD)
Entity Type:Individual
Prefix:DR
First Name:VERA
Middle Name:LF
Last Name:BARBOSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VERA
Other - Middle Name:LF
Other - Last Name:BARBOSA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6533 ROYAL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7439
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6533 ROYAL RIDGE DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-7439
Practice Address - Country:US
Practice Address - Phone:214-456-1814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1494207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178671701Medicaid
TX178671701Medicaid
TX8G3329Medicare ID - Type UnspecifiedMEDICARE