MEDICARE: MR. BARRON CHECK

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	174400000X	Specialist	10000829	TX

General Provider Information

NPI Number	:	1134521982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BARRON CHECK

Provider Business Mailing Address
First Line	:	2040 NORTH LOOP W STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-8109
Country	:	US
Telephone Number	:	713-622-9838
Fax Number	:	713-622-9848

Provider Business Practice Location Address
First Line	:	2040 NORTH LOOP W STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-8109
Country	:	US
Telephone Number	:	713-622-9838
Fax Number	:	713-622-9848

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

Provider Enumeration Date	:	09/24/2014
Last Update Date	:	09/24/2014

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Directions to “ MR. BARRON CHECK ” Practice Location

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