Basic Information
Provider Information
NPI: 1912027483
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAIR
FirstName: BARBARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4205 FRANKLIN AVE
Address2:  
City: WACO
State: TX
PostalCode: 767106904
CountryCode: US
TelephoneNumber: 2547722777
FaxNumber: 2547722770
Practice Location
Address1: 4205 FRANKLIN AVE
Address2:  
City: WACO
State: TX
PostalCode: 767106904
CountryCode: US
TelephoneNumber: 6157784066
FaxNumber: 6157789114
Other Information
ProviderEnumerationDate: 03/30/2007
LastUpdateDate: 11/18/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2083X0100XK3582TXY Allopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine

No ID Information.


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