Basic Information
Provider Information
NPI: 1578831186
EntityType: 2
ReplacementNPI:  
OrganizationName: FIRST ASSISTANTS & ASSOCIATES
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: SANDRA BUCKMASTER-BARBER
OtherOrganizationType: 5
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 938
Address2:  
City: ROWLETT
State: TX
PostalCode: 750300938
CountryCode: US
TelephoneNumber: 2142272457
FaxNumber: 9724637247
Practice Location
Address1: 5024 MEADOWBROOK DR
Address2:  
City: FT WORTH
State: TX
PostalCode: 761033423
CountryCode: US
TelephoneNumber: 2142272457
FaxNumber: 9724637247
Other Information
ProviderEnumerationDate: 12/09/2011
LastUpdateDate: 12/09/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: BUCKMASTER-BARBER
AuthorizedOfficialFirstName: SANDRA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PROVIDER
AuthorizedOfficialTelephone: 2142272457
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: RNFA
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SM0705X238441TXY193400000X SINGLE SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical

No ID Information.


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