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NPI Code Detail

MEDICARE: MR. JOSE LUIS BARRON

MEDICARE:  MR. JOSE LUIS BARRON
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
1225700000XMassage TherapistME8532TX

General Provider Information

NPI Number : 1386491843
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSE LUIS BARRON
Provider Business Mailing Address
First Line : 1201 AIRWAY BLVD STE D7
Second Line :
City : EL PASO
State : TX
Zip : 79925-3647
Country : US
Telephone Number : 915-329-1822
Fax Number :
Provider Business Practice Location Address
First Line : 1201 AIRWAY BLVD STE D7
Second Line :
City : EL PASO
State : TX
Zip : 79925-3647
Country : US
Telephone Number : 915-255-5037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2024
Last Update Date : 05/02/2024

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Directions to “ MR. JOSE LUIS BARRON ” Practice Location

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