Healthcare Provider Details
I. General information
NPI: 1346400116
Provider Name (Legal Business Name): JOSE LUIS BARRIOS JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/14/2008
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1100 BUTTE ST
REDDING CA
96001-0852
US
IV. Provider business mailing address
2001 TIMBERLOCH PL STE 500
THE WOODLANDS TX
77380-1375
US
V. Phone/Fax
- Phone: 530-244-5126
- Fax: 530-244-5126
- Phone: 281-626-0053
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | A114420 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | S1346 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: