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NPI Code Detail

MEDICARE: MRS. JULIE ANN MI CHA BARKER PA-C

MEDICARE: MRS. JULIE ANN MI CHA BARKER 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
1363A00000XPhysician AssistantPA.0007794CO
2363A00000XPhysician AssistantPA09150TX
3363AM0700XMedical Physician Assistant
4363AS0400XSurgical Physician AssistantPA55138CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11102983OTHERNHNCCPA IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1619249539
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE ANN MI CHA BARKER PA-C
Provider Business Mailing Address
First Line : 6606 MAPLESHADE LN APT 21B
Second Line :
City : DALLAS
State : TX
Zip : 75252-8559
Country : US
Telephone Number : 254-760-7765
Fax Number :
Provider Business Practice Location Address
First Line : 1411 E 31ST ST DEPT OF
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1092
Country : US
Telephone Number : 510-437-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2012
Last Update Date : 11/28/2023

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