MEDICARE: CARRIE CHANDLER BARLOW PA-C

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	363AM0700X	Medical Physician Assistant	PA06478	TX

General Provider Information

NPI Number	:	1487832887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE CHANDLER BARLOW PA-C

Provider Business Mailing Address
First Line	:	6802 ESTHER DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78752-3136
Country	:	US
Telephone Number	:	405-203-0500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1512 TOWN CENTER DR
Second Line	:	SUITE 100
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-7678
Country	:	US
Telephone Number	:	512-324-4875
Fax Number	:

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

Provider Enumeration Date	:	02/07/2008
Last Update Date	:	09/11/2014

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