MEDICARE: DR. ALAN DAVID BARIBEAU 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	207W00000X	Ophthalmology Physician	D9352	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	00046K	OTHER	TX	MEDICARE PROVIDER ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	85720G	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1952301384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN DAVID BARIBEAU M.D.

Provider Business Mailing Address
First Line	:	7830 LOUIS PASTEUR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3404
Country	:	US
Telephone Number	:	210-692-8888
Fax Number	:	210-692-0764

Provider Business Practice Location Address
First Line	:	7830 LOUIS PASTEUR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3404
Country	:	US
Telephone Number	:	210-692-8888
Fax Number	:	210-692-0764

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	02/07/2018

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