Individual
ZOILA REYNA BARRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
720 GOLDER AVE, ODESSA, TX 79761-4442
(432) 337-3117
Mailing address
720 GOLDER AVE, ODESSA, TX 79761-4442
(432) 337-3117
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03369
TX
363AS0400X
Surgical Physician Assistant
085.002951
IL
363AS0400X
Surgical Physician Assistant
GA005528
GA
363AS0400X
Surgical Physician Assistant
PA03369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123718204
—
TX
01
—
970026640
RAILROAD MEDICARE
TX
Enumeration date
10/27/2005
Last updated
01/03/2014
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