MEDICARE: JOHN D. BARRAS, DDS, PC

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	122300000X	Dentist	21013	TX

General Provider Information

NPI Number	:	1932420619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN D. BARRAS, DDS, PC

Provider Business Mailing Address
First Line	:	1360 POST OAK BLVD STE 1740
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-3062
Country	:	US
Telephone Number	:	713-993-9814
Fax Number	:	713-993-9817

Provider Business Practice Location Address
First Line	:	1360 POST OAK BLVD STE 1740
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-3062
Country	:	US
Telephone Number	:	713-993-9814
Fax Number	:	713-993-9817

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. JOHN DENTON BARRAS
Credential	:	D.D.S.
Telephone Number	:	713-993-9814

Provider Enumeration Date	:	06/17/2010
Last Update Date	:	06/17/2010

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