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NPI Code Detail

MEDICARE: DR. J NILE BARNES EMT-P(LP), PHARMD, B

MEDICARE: DR. J NILE BARNES EMT-P(LP), PHARMD, B
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
1146L00000XParamedic8141TX
21835P1200XPharmacotherapy Pharmacist43602TX

General Provider Information

NPI Number : 1376575753
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. J NILE BARNES EMT-P(LP), PHARMD, B
Provider Business Mailing Address
First Line : 9819 BUCKSKIN TRL
Second Line :
City : AUSTIN
State : TX
Zip : 78737-9684
Country : US
Telephone Number : 512-413-6569
Fax Number :
Provider Business Practice Location Address
First Line : 2409 UNIVERSITY AVE
Second Line : U OF TEXAS COLLEGE OF PHARMACY
City : AUSTIN
State : TX
Zip : 78712-1112
Country : US
Telephone Number : 512-232-3494
Fax Number : 512-471-3756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 03/25/2021

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