MEDICARE: DR. RONDA BARR DO

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	208D00000X	General Practice Physician	H8968	TX
2	207Q00000X	Family Medicine Physician	H8968	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437120631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONDA BARR DO

Provider Business Mailing Address
First Line	:	5219 CITY BANK PKWY STE 35
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79407-3545
Country	:	US
Telephone Number	:	806-792-8843
Fax Number	:

Provider Business Practice Location Address
First Line	:	808 JOLIET AVE UNIT 110
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79415-1148
Country	:	US
Telephone Number	:	806-761-0320
Fax Number	:	806-785-7685

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	06/16/2021

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Directions to “ DR. RONDA BARR DO” Practice Location

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