MEDICARE: DR. WADE NEAL BARKER M.D., F.A.C.S.

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	208600000X	Surgery Physician	J1859	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144270992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WADE NEAL BARKER M.D., F.A.C.S.

Provider Business Mailing Address
First Line	:	12222 N CENTRAL EXPY
Second Line	:	STE. 300
City	:	DALLAS
State	:	TX
Zip	:	75243-3755
Country	:	US
Telephone Number	:	972-270-4800
Fax Number	:	214-367-1153

Provider Business Practice Location Address
First Line	:	12222 N CENTRAL EXPY
Second Line	:	STE. 300
City	:	DALLAS
State	:	TX
Zip	:	75243-3755
Country	:	US
Telephone Number	:	972-270-4800
Fax Number	:	214-367-1153

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	05/03/2012

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