MEDICARE: DR. JUAN CARLOS BARRIGA 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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	L1800	TX
2	207RP1001X	Pulmonary Disease Physician	L1800	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00063928	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0039KT	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578520698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN CARLOS BARRIGA M.D.

Provider Business Mailing Address
First Line	:	746 COLUMBIA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-1635
Country	:	US
Telephone Number	:	713-426-5864
Fax Number	:	713-869-3716

Provider Business Practice Location Address
First Line	:	1631 NORTH LOOP WEST
Second Line	:	SUITE 550
City	:	HOUSTON
State	:	TX
Zip	:	77008-1440
Country	:	US
Telephone Number	:	713-426-5864
Fax Number	:	713-869-3716

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

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	09/18/2012

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Directions to “ DR. JUAN CARLOS BARRIGA M.D.” Practice Location

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