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NPI Code Detail

MEDICARE: STEPHEN L BARRETT DPM PA

MEDICARE: STEPHEN L BARRETT DPM PA
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
1213ES0103XFoot & Ankle Surgery Podiatrist0924TX

General Provider Information

NPI Number : 1780710434
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPHEN L BARRETT DPM PA
Provider Business Mailing Address
First Line : 19555 N 59TH AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-6813
Country : US
Telephone Number : 713-812-1612
Fax Number : 713-586-6705
Provider Business Practice Location Address
First Line : 3726 DACOMA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8906
Country : US
Telephone Number : 713-812-1612
Fax Number : 713-586-6752
Authorized Official
Title or Position : PHYSICIAN
Name : DR. STEPHEN L BARRETT
Credential : M.D.
Telephone Number : 713-812-1612
Provider Enumeration Date : 02/26/2007
Last Update Date : 04/20/2011

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