Individual
DR. JACOB KENT BARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, MS-11-AG062, TEMPLE, TX 76508-0001
(254) 724-5815
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R4516
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
651429
TEXAS PHYSICIAN IN TRAINING ID
TX
Enumeration date
05/24/2016
Last updated
06/10/2019
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