MEDICARE: DR. VANESSA TERRY BARROW D.P.M

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	213EP1101X	Primary Podiatric Medicine Podiatrist	2104	TX
2	213ES0000X	Sports Medicine Podiatrist	2104	TX
3	213ES0131X	Foot Surgery Podiatrist	2104	TX

General Provider Information

NPI Number	:	1356513626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VANESSA TERRY BARROW D.P.M

Provider Business Mailing Address
First Line	:	5959 WEST LOOP S STE 130
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-2420
Country	:	US
Telephone Number	:	832-600-8403
Fax Number	:

Provider Business Practice Location Address
First Line	:	5959 WEST LOOP S STE 130
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-2420
Country	:	US
Telephone Number	:	713-666-9934
Fax Number	:

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

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	03/17/2018

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