Individual
DR. LARRY WAYNE BAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19276 STONE OAK PKWY, SUITE 102, SAN ANTONIO, TX 78258-3378
(210) 494-7172
(210) 494-7562
Mailing address
19276 STONE OAK PKWY, SUITE 102, SAN ANTONIO, TX 78258-3379
(210) 494-7172
(210) 494-7562
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G-4813
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4056348
AETNA HEALTHCARE
TN
01
—
86M592
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/29/2007
Last updated
04/23/2014
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