Basic Information
| Provider Information | |||||||||
| NPI: | 1699127787 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TOWERS | ||||||||
| FirstName: | BARRY | ||||||||
| MiddleName: | DAVID | ||||||||
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| Credential: | CCP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3100 W END AVE | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372031320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153455400 | ||||||||
| FaxNumber: | 6153455405 | ||||||||
| Practice Location | |||||||||
| Address1: | 2105 FOREST AVE | ||||||||
| Address2: | |||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951281425 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6025261545 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2016 | ||||||||
| LastUpdateDate: | 09/12/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 376K00000X | CNA1000041458 | AZ | N | Nursing Service Related Providers | Nurse's Aide | 242T00000X | TX | Y | Technologists, Technicians & Other Technical Service Providers | Perfusionist |
No ID Information.