MEDICARE: JOHN ARNOLD BARTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	32014	TX
2	122300000X	Dentist	32014	TX

General Provider Information

NPI Number	:	1043763329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN ARNOLD BARTON

Provider Business Mailing Address
First Line	:	8202 N LOOP 1604 W STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2898
Country	:	US
Telephone Number	:	210-694-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	8202 N LOOP 1604 W STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2898
Country	:	US
Telephone Number	:	210-694-5600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2016
Last Update Date	:	05/13/2019

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