MEDICARE: DR. STEPHEN ANTHONY BARNES MD

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	2086S0102X	Surgical Critical Care Physician	K5800	TX
2	2086S0127X	Trauma Surgery Physician	K5800	TX
3	2086X0206X	Surgical Oncology Physician	K5800	TX
4	208600000X	Surgery Physician	K5800	TX

General Provider Information

NPI Number	:	1598947236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN ANTHONY BARNES MD

Provider Business Mailing Address
First Line	:	2219 DORRINGTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3209
Country	:	US
Telephone Number	:	713-388-6777
Fax Number	:	713-437-3577

Provider Business Practice Location Address
First Line	:	2219 DORRINGTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3209
Country	:	US
Telephone Number	:	713-388-6777
Fax Number	:	713-437-3577

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

Provider Enumeration Date	:	12/05/2007
Last Update Date	:	05/10/2022

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