Provider Demographics
NPI:1013794023
Name:BARBER, MARCUS DWAYNE SR
Entity Type:Individual
Prefix:MR
First Name:MARCUS
Middle Name:DWAYNE
Last Name:BARBER
Suffix:SR
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 1:197 COUNTY ROAD 278
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TX
Mailing Address - Zip Code:75951-6777
Mailing Address - Country:US
Mailing Address - Phone:409-383-4678
Mailing Address - Fax:
Practice Address - Street 1:197 COUNTY ROAD 278
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TX
Practice Address - Zip Code:75951-6777
Practice Address - Country:US
Practice Address - Phone:409-383-4678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker