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NPI Code Detail

MEDICARE: DR. JUSTIN B. BARROW M.D.

MEDICARE:  DR. JUSTIN B. BARROW  M.D.
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
1207Q00000XFamily Medicine PhysicianK8607TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080191301OTHERTXRR/MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
28F1194OTHERTXBLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41352973-11OTHERTXCSHCN

General Provider Information

NPI Number : 1376503607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN B. BARROW M.D.
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2612 W VILLA MARIA RD
Second Line :
City : BRYAN
State : TX
Zip : 77807-4881
Country : US
Telephone Number : 409-691-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 12/07/2021

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Directions to “ DR. JUSTIN B. BARROW M.D.” Practice Location

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