MEDICARE: DR. JOSE JAVIER BARRETO DPM

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	213EP1101X	Primary Podiatric Medicine Podiatrist	1557	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1164677753	OTHER	TX	MEDICARE NPI
4	0A0251	OTHER	TX	MEDICARE PTAN
5	0A0250	OTHER	TX	MEDICARE PTAN
7	1881849180	OTHER	TX	MEDICARE NPI

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	0020JW	OTHER	TX	BLUE CROSS/BLUE SHIELDS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	480035345	OTHER		RAILROAD PTAN

General Provider Information

NPI Number	:	1831193465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE JAVIER BARRETO DPM

Provider Business Mailing Address
First Line	:	PO BOX 130937
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77219-0937
Country	:	US
Telephone Number	:	713-533-0840
Fax Number	:	713-533-0871

Provider Business Practice Location Address
First Line	:	114 W DREW ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-2002
Country	:	US
Telephone Number	:	713-533-0840
Fax Number	:	713-533-0871

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

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	08/06/2012

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Directions to “ DR. JOSE JAVIER BARRETO DPM” Practice Location

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