Individual
JEFFREY DAVID BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 597-0351
Mailing address
1904 GOLDEN BAY, WHITEHOUSE, TX 75791-5813
(903) 312-8753
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP129966
TX
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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