=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366865487
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WILLIAM R. BARRINGER DC P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/24/2014
-----------------------------------------------------
Last Update Date | 01/24/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 412 MERCEDES ST STE D
-----------------------------------------------------
City | BENBROOK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76126-2563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-249-2717
-----------------------------------------------------
Fax | 817-249-2882
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 412 MERCEDES ST SUITE D
-----------------------------------------------------
City | BENBROOK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76126-2563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-249-2717
-----------------------------------------------------
Fax | 817-249-2882
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | WILLIAM R BARRINGER
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 817-249-2717
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111NI0900X
-----------------------------------------------------
Taxonomy Name | Internist Chiropractor
-----------------------------------------------------
License Number | 9139
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------