Individual
JARED WAYNE BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.O.T.
Contact information
Practice address
420 CENTURY WAY,, SUITE 300, RED OAK, TX 75154
(972) 576-1005
(972) 576-1950
Mailing address
420 CENTURY WAY,, SUITE 300, RED OAK, TX 75154
(972) 576-1005
(972) 576-1950
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108130
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T4424
BCBS
TX
Enumeration date
07/06/2006
Last updated
11/01/2011
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