MEDICARE: GRACE BARKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1073469714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE BARKER

Provider Business Mailing Address
First Line	:	11400 HURON LN
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-1847
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11400 HURON LN
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-1847
Country	:	US
Telephone Number	:	501-204-0037
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

Similar Medicare Providers

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Practice Location Address:

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1427221704 — DR. JAMES COOPER KEANE M.D.
Practice Location Address:

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1952637951 — JAMES R THRASHER, M.D., P.A.
Practice Location Address:

11400 HURON LANE , 11400 HURON LANE
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Directions to “ GRACE BARKER ” Practice Location

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