Individual
KEVIN W. BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W OLLIE ST, LLANO, TX 78643-2628
(210) 614-0959
Mailing address
7418 JOHN SMITH, SUITE 218, SAN ANTONIO, TX 78229-6020
(210) 614-0959
(210) 614-7522
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L5672
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M2151
BCBS
TX
01
—
P00240012
MEDICARE RAILROAD
TX
Enumeration date
05/12/2006
Last updated
09/12/2007
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