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NPI Code Detail

MEDICARE: BARRY J FENTON M.D., P.A.

MEDICARE: BARRY J FENTON M.D., P.A.
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
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor
3103T00000XPsychologist
4103TB0200XCognitive & Behavioral Psychologist
5103TC0700XClinical Psychologist
6103TC1900XCounseling Psychologist
7103TC2200XClinical Child & Adolescent Psychologist
8103TF0000XFamily Psychologist
9103TR0400XRehabilitation Psychologist
10106H00000XMarriage & Family Therapist
112084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1912032319
Entity Type Code : Organization
Provider Name (Legal Business Name) : BARRY J FENTON M.D., P.A.
Provider Business Mailing Address
First Line : 3417 GASTON AVE STE 815
Second Line :
City : DALLAS
State : TX
Zip : 75246-2034
Country : US
Telephone Number : 214-520-7575
Fax Number : 214-520-7579
Provider Business Practice Location Address
First Line : 3417 GASTON AVE STE 815
Second Line :
City : DALLAS
State : TX
Zip : 75246-2034
Country : US
Telephone Number : 214-520-7575
Fax Number : 214-520-7579
Authorized Official
Title or Position : PHYSICIAN
Name : DR. BARRY JAY FENTON
Credential : M.D.
Telephone Number : 214-520-7575
Provider Enumeration Date : 02/23/2007
Last Update Date : 01/21/2025

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