Healthcare Provider Details
I. General information
NPI: 1437230372
Provider Name (Legal Business Name): BRIAN BARKLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/18/2006
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 S COULTER ST
AMARILLO TX
79106-1781
US
IV. Provider business mailing address
1000 S COULTER ST
AMARILLO TX
79106-1781
US
V. Phone/Fax
- Phone: 806-212-4700
- Fax: 806-212-4730
- Phone: 806-212-4700
- Fax: 806-212-4730
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | L0016 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PE0005X |
| Taxonomy | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
| License Number | L0016 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: