# JOSE BARRERA, MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407291529
- **Authorized official:** JOSE BARRERA (CREDENTIALING)
- **Authorized official phone:** (210) 828-3334

## Contact information

- **Practice address:** 555 E BASSE RD STE 200, SAN ANTONIO, TX 78209-8329
- **Practice address phone:** (210) 828-3334
- **Practice address fax:** (210) 828-9459
- **Mailing address:** 312 BLUE BONNET BLVD, SAN ANTONIO, TX 78209-4633
- **Mailing address phone:** (210) 828-3334
- **Mailing address fax:** (210) 828-9459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | N3480 | TX | Yes |

## Other

- **Enumeration date:** 05/02/2013
- **Last updated:** 05/02/2013