Healthcare Provider Details

I. General information

NPI: 1003976531
Provider Name (Legal Business Name): LYNDA MARIE FEW NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LYNDA MARIE BARABAS NP

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3560 DELAWARE ST # 601
BEAUMONT TX
77706-3067
US

IV. Provider business mailing address

RR 4 BOX 421
JASPER TX
75951-9478
US

V. Phone/Fax

Practice location:
  • Phone: 409-924-9666
  • Fax:
Mailing address:
  • Phone: 409-489-2581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number231874
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: