MEDICARE: BARIBEAU & ASSOCIATES, P.A.

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	D9352	TX
2	207W00000X	Ophthalmology Physician	D9352	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00046K	OTHER	TX	MEDICARE PROVIDER ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	85720G	OTHER	TX	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366590952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARIBEAU & ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	7830 LOUIS PASTEUR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3404
Country	:	US
Telephone Number	:	210-692-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	7830 LOUIS PASTEUR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3404
Country	:	US
Telephone Number	:	210-692-8888
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. TANYA M BARIBEAU
Credential	:
Telephone Number	:	210-692-8888

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	08/28/2013

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