Individual
MR. DAVID GLENN BARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
404 WEST GOODWIN ST., PLEASANTON, TX 78064-4002
(830) 569-3861
Mailing address
15 FORD RD, HATTIESBURG, MS 39401-9380
(601) 466-1112
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2065916
TX
314000000X
Skilled Nursing Facility
PTA 1424
MS
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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