# MR. DAVID GLENN BARRON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1659688281
- **Gender:** Man
- **Credential:** LPTA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 2065916 | TX | Yes |
| 314000000X | Skilled Nursing Facility | PTA 1424 | MS | — |

## Other

- **Enumeration date:** 09/02/2010
- **Last updated:** 09/02/2010