MEDICARE: MRS. CARLA LUISA BARBA NP

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	363LW0102X	Women's Health Nurse Practitioner	722517	TX

General Provider Information

NPI Number	:	1366543399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CARLA LUISA BARBA NP

Provider Business Mailing Address
First Line	:	24315 ARBOLES VERDES
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78260-4329
Country	:	US
Telephone Number	:	210-257-8470
Fax Number	:

Provider Business Practice Location Address
First Line	:	3903 WISEMAN BLVD
Second Line	:	SUITE 300
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-4401
Country	:	US
Telephone Number	:	210-426-3663
Fax Number	:	210-245-3934

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	11/22/2013

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