Individual
DR. JERRY LEE BARKER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 WALNUT HILL LN, RADIATION ONCOLOGY CENTER, DALLAS, TX 75231-4426
(214) 345-7394
(214) 345-7684
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D6943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165210A
—
OK
05
—
1104507-02
—
TX
05
—
110450704
—
TX
01
—
P00664389
RAILROAD MEDICARE
TX
Enumeration date
06/06/2006
Last updated
03/03/2009
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