Individual
CHRISTINA DANIELLE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 E DAWSON ST - HOSPITALISTS, TYLER, TX 75701
(903) 606-4129
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
650721
TX
363LF0000X
Family Nurse Practitioner
650721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187803509
—
TX
01
—
1E8826
CTC -MEDICARE
TX
01
—
8MY806
BCBS - CTC
—
01
—
P02518074
MEDICARE RAIL ROAD
TX
Enumeration date
10/18/2006
Last updated
10/14/2020
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