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General NPI Number Information
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NPI Number | 1467761197
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Entity Type | Organization
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Legal Business Name | RICARDO BARRERA MD., P.A.
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 210 S BRYAN RD
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City | MISSION
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State | TX
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Zip | 78572-6204
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Country | US
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Telephone | 956-581-7481
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Fax |
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Provider Business Mailing Address
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Address Line | 210 S BRYAN RD
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City | MISSION
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State | TX
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Zip | 78572-6204
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICARDO BARRERAQ
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Credential |
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Telephone | 956-581-7481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | F0380
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License Number State | TX
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