Basic Information
| Provider Information | |||||||||
| NPI: | 1982807301 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | BARKER CHIROPRACTIC CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8001 E. NORTH MESA | ||||||||
| Address2: | BOX 325 | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 79936 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155909355 | ||||||||
| FaxNumber: | 9155909361 | ||||||||
| Practice Location | |||||||||
| Address1: | 11212 MONTWOOD DR | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799364241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155909355 | ||||||||
| FaxNumber: | 9155909361 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2007 | ||||||||
| LastUpdateDate: | 04/04/2008 | ||||||||
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| AuthorizedOfficialLastName: | BARKER | ||||||||
| AuthorizedOfficialFirstName: | JERRY | ||||||||
| AuthorizedOfficialMiddleName: | W | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9155909355 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | B.S., D.C., P.A. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 6634 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Chiropractic Providers | Chiropractor |
No ID Information.