Provider Demographics
NPI:1982702122
Name:NAATOM, BARINAADAA
Entity Type:Individual
Prefix:
First Name:BARINAADAA
Middle Name:
Last Name:NAATOM
Suffix:
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 1:9898 BISSONNET STREET
Mailing Address - Street 2:SUITE 274
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:713-541-3566
Mailing Address - Fax:713-541-3568
Practice Address - Street 1:9898 BISSONNET STREET
Practice Address - Street 2:SUITE 274
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:713-541-3566
Practice Address - Fax:713-541-3568
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5811990001Medicare NSC