Individual
DR. ERNEST A BARBOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1205 N EXPRESSWAY STE B, 1205 N EXPRESSWAY STE B, BROWNSVILLE, TX 78520-8622
(956) 542-1545
(956) 542-3094
Mailing address
1552 PALM BOULEVARD, #21 PALM VILLAGE SHOPPING CENTER, BROWNSVILLE, TX 78520
(956) 542-1545
(956) 542-3094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1350373-02
—
TX
01
—
75-2300597
TAX ID #
TX
01
—
B15843-1
TEXAS CHIPS #
TX
Enumeration date
08/12/2006
Last updated
01/31/2013
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