Individual
CONNIE RAE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1139 E SONTERRA BLVD, SUITE 405, SAN ANTONIO, TX 78258-4347
(210) 404-0000
(210) 404-2812
Mailing address
8109 FREDERICKSBURG RD, PHYSICIAN PRACTICE SERVICES, SAN ANTONIO, TX 78229-3311
(210) 404-0000
(210) 404-2812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
225474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0396301-01
—
TX
05
—
039630102
—
TX
05
—
039630104
—
TX
01
—
884N89
BCBSTX
TX
01
—
P01164922
RAILROAD MEDICARE
—
Enumeration date
06/10/2005
Last updated
06/02/2014
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