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Individual

CATHY BARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
54280
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP01881
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10032172
AMERIGROUP PIN
TX
05
120054511
TX
01
120054512
CSHCN
TX
01
2298120
UHC PIN
TX
Enumeration date
11/13/2006
Last updated
01/30/2024
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