Provider Demographics
NPI:1669255873
Name:BARBER, PAXTON (OTR, OTD)
Entity type:Individual
Prefix:
First Name:PAXTON
Middle Name:
Last Name:BARBER
Suffix:
Gender:F
Credentials:OTR, OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 HARDAGE CIR
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-6055
Mailing Address - Country:US
Mailing Address - Phone:817-575-9870
Mailing Address - Fax:
Practice Address - Street 1:1441 S MIDLOTHIAN PKWY STE 170
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-5597
Practice Address - Country:US
Practice Address - Phone:972-723-0380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123643225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist