Provider Demographics
NPI:1801302823
Name:BARR, ALLYSON S (CPM, LM)
Entity type:Individual
Prefix:MRS
First Name:ALLYSON
Middle Name:S
Last Name:BARR
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 150493
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76108-0493
Mailing Address - Country:US
Mailing Address - Phone:682-239-8067
Mailing Address - Fax:817-628-0883
Practice Address - Street 1:8121 FOXFIRE LN APT A
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76108-1124
Practice Address - Country:US
Practice Address - Phone:682-239-8067
Practice Address - Fax:817-628-0883
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-28
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99316176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife