Individual
MS. JO CARROLL BARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5010 CRENSHAW RD, SUITE #130, PASADENA, TX 77505-3097
(281) 991-2200
(281) 991-7700
Mailing address
PO BOX 650802, DALLAS, TX 75265-0802
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
429306
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046CC
MEDICARE RPK GROUP #
TX
05
—
139992531
—
TX
01
—
8717UA
BCBS
TX
Enumeration date
09/07/2006
Last updated
07/21/2011
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