MEDICARE: SARAH NICOLE BARR MD

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	208000000X	Pediatrics Physician	N4934	TX

General Provider Information

NPI Number	:	1194038208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH NICOLE BARR MD

Provider Business Mailing Address
First Line	:	5039 WIGTON DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5327
Country	:	US
Telephone Number	:	713-591-0191
Fax Number	:

Provider Business Practice Location Address
First Line	:	6510 HILLCROFT ST STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4771
Country	:	US
Telephone Number	:	713-988-6677
Fax Number	:

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

Provider Enumeration Date	:	07/17/2010
Last Update Date	:	07/17/2010

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