Individual
DIANNE BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 MCCULLOUGH AVE, SAN ANTONIO, TX 78215-1625
(210) 226-6169
Mailing address
800 MCCULLOUGH AVE, SAN ANTONIO, TX 78215-1625
(210) 226-6169
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A161157
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
T2116
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2015
Last updated
07/02/2021
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