Organization
BARIBEAU & ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA M BARIBEAU (ADMINISTRATOR)
(210) 692-8888
Entity
Organization
Contact information
Practice address
7830 LOUIS PASTEUR, SAN ANTONIO, TX 78229-3404
(210) 692-8888
Mailing address
7830 LOUIS PASTEUR, SAN ANTONIO, TX 78229-3404
(210) 692-8888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D9352
TX
207W00000X
Ophthalmology Physician
Primary
D9352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00046K
MEDICARE PROVIDER ID
TX
05
—
079671601
—
TX
01
—
85720G
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/08/2007
Last updated
08/28/2013
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