Healthcare Provider Details

I. General information

NPI: 1306986450
Provider Name (Legal Business Name): BARBARA M PINSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11721 U S HIGHWAY 69 NORTH
TYLER TX
75706
US

IV. Provider business mailing address

490 VANZANDT CR 1226
GRAND SALINE TX
75140
US

V. Phone/Fax

Practice location:
  • Phone: 903-561-5637
  • Fax: 903-882-2224
Mailing address:
  • Phone: 903-561-5637
  • Fax: 903-962-3450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberH8327
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: