Individual
MS. BARBARA DOROTHEA DAUERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1116 12TH STREET SUITE # 3, BANDERA, TX 78003
(830) 796-3448
(830) 796-3840
Mailing address
130 STATE HIGHWAY 173 N UNIT 519, BANDERA, TX 78003-8025
(830) 792-3251
(830) 796-3840
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
000942
NY
363AM0700X
Medical Physician Assistant
PA10003237
WA
363AM0700X
Medical Physician Assistant
Primary
PA13239
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801292800
GROUP NPI #
NY
01
—
PA13239
TEXAS MEDICAL BOARD
TX
Enumeration date
01/12/2006
Last updated
09/21/2020
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