Healthcare Provider Details

I. General information

NPI: 1275248999
Provider Name (Legal Business Name): DR. RICHARD BARBER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4455 S PADRE ISLAND DR STE 13
CORPUS CHRISTI TX
78411-5161
US

IV. Provider business mailing address

4455 S PADRE ISLAND DR STE 13
CORPUS CHRISTI TX
78411-5161
US

V. Phone/Fax

Practice location:
  • Phone: 361-248-2663
  • Fax: 361-356-7420
Mailing address:
  • Phone: 361-248-2663
  • Fax: 361-356-7420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD BARBER
Title or Position: MD/OWNER
Credential: MD
Phone: 361-248-2663