Provider Demographics
NPI:1932394129
Name:BARNHILL, SIMONE C
Entity Type:Individual
Prefix:MRS
First Name:SIMONE
Middle Name:C
Last Name:BARNHILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6105 LOUISVILLE DR
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-5327
Mailing Address - Country:US
Mailing Address - Phone:806-780-8333
Mailing Address - Fax:806-780-8444
Practice Address - Street 1:6105 LOUISVILLE DR
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-5327
Practice Address - Country:US
Practice Address - Phone:806-780-8333
Practice Address - Fax:806-780-8444
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016513601332B00000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010690801Medicaid
NM69713Medicaid
TX016513601Medicaid
TX010690801Medicaid