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Individual

ENEDELIA BARRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
900 W SAM HOUSTON ST STE 5, PHARR, TX 78577-5215
(956) 781-3300
(956) 781-8808
Mailing address
900 W SAM HOUSTON ST STE 5, PHARR, TX 78577-5215
(956) 781-3300
(956) 781-8808

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5532T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0384927-01
TX
Enumeration date
10/26/2006
Last updated
07/08/2007
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