MEDICARE: DANIEL BARBARO 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	207RI0200X	Infectious Disease Physician	G2519	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	440001993	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	89861J	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1669447157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL BARBARO M.D.

Provider Business Mailing Address
First Line	:	1125 COLLEGE AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4514
Country	:	US
Telephone Number	:	817-810-9811
Fax Number	:	817-810-9815

Provider Business Practice Location Address
First Line	:	1025 COLLEGE AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3013
Country	:	US
Telephone Number	:	817-810-9811
Fax Number	:	817-810-9815

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

Provider Enumeration Date	:	02/20/2006
Last Update Date	:	10/29/2018

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