Healthcare Provider Details

I. General information

NPI: 1720076755
Provider Name (Legal Business Name): LYNN B BARLOW II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 09/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 PINE ST
ABILENE TX
79601-2432
US

IV. Provider business mailing address

PO BOX 5210
NORMAN OK
73070-5210
US

V. Phone/Fax

Practice location:
  • Phone: 325-670-2151
  • Fax:
Mailing address:
  • Phone: 866-321-8433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberL0018
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number6660980-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: