Provider Demographics
NPI:1265531289
Name:BARRERA, IRIS (DDS)
Entity type:Individual
Prefix:MRS
First Name:IRIS
Middle Name:
Last Name:BARRERA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 PROFESSIONAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520
Mailing Address - Country:US
Mailing Address - Phone:956-545-0668
Mailing Address - Fax:956-545-0669
Practice Address - Street 1:1002 W SAM HOUSTON BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-5224
Practice Address - Country:US
Practice Address - Phone:956-545-0668
Practice Address - Fax:956-545-0669
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice