Basic Information
Provider Information
NPI: 1487832887
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARLOW
FirstName: CARRIE
MiddleName: CHANDLER
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6802 ESTHER DR
Address2:  
City: AUSTIN
State: TX
PostalCode: 787523136
CountryCode: US
TelephoneNumber: 4052030500
FaxNumber:  
Practice Location
Address1: 1512 TOWN CENTER DR
Address2: SUITE 100
City: PFLUGERVILLE
State: TX
PostalCode: 786607678
CountryCode: US
TelephoneNumber: 5123244875
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/07/2008
LastUpdateDate: 09/11/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700XPA06478TXY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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