Individual
TRES BARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1053
(512) 509-0200
(512) 509-3479
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
N2932
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2828816-01
—
TX
01
—
TXB130838
PTAN
TX
Enumeration date
01/26/2007
Last updated
12/07/2021
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