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Individual

CHARLES D BARTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3615 19TH ST, LUBBOCK, TX 79410-1203
(806) 725-4288
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-5844
(806) 723-6532

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G9063
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000J2158
NEW MEXICO MEDICAID
NM
05
131683812
TX
01
8A8637
BCBS
TX
01
930110048
RAILROAD MEDICARE
TX
Enumeration date
10/26/2006
Last updated
03/18/2010
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