Individual
KIRK W BARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA04583
TX
363AM0700X
Medical Physician Assistant
Primary
PA04583
TX
363AS0400X
Surgical Physician Assistant
PA04583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194565101
—
TX
01
—
8Y8718
BCBS
TX
01
—
P00784417
RAILROAD MEDICARE
TX
Enumeration date
04/03/2006
Last updated
11/26/2012
Update your record
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