Basic Information
| Provider Information | |||||||||
| NPI: | 1700860061 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARKER | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | ARTHUR | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | COL, MC, USA, MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1726 ENCINO RIO | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782591810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2104977379 | ||||||||
| FaxNumber: | 2104977379 | ||||||||
| Practice Location | |||||||||
| Address1: | 3851 ROGER BROOKE DRIVE | ||||||||
| Address2: | MCHE-QD | ||||||||
| City: | FORT SAM HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782344501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2109163249 | ||||||||
| FaxNumber: | 2109165102 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171000000X | IL | Y | Other Service Providers | Military Health Care Provider |
No ID Information.