Provider Demographics
NPI:1245850718
Name:BARNHART, DONALD LEE III
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:LEE
Last Name:BARNHART
Suffix:III
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 1:5701 SARATOGA BLVD APT 826
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-4146
Mailing Address - Country:US
Mailing Address - Phone:469-604-2477
Mailing Address - Fax:
Practice Address - Street 1:1105 US HIGHWAY 181
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:TX
Practice Address - Zip Code:78374-1700
Practice Address - Country:US
Practice Address - Phone:361-229-7251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61764183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist