Autumn Barker, MSAOM
Individual provider Active NPI Acupuncturist · Kyle, TX
NPI 1184024465 · NPPES record last updated Aug 25, 2014
Key facts
- NPI
- 1184024465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC01385 (TX)
- Practice address
- 4100 Everett Dr Ste 200
Kyle, TX 78640-6315 - Phone
- (512) 268-2768
- NPI assigned
- Aug 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC01385 | TX | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC01385 | TX | Yes |
Addresses
Primary practice location
4100 Everett Dr Ste 200
Kyle, TX 78640-6315
Mailing address
4100 Everett Dr Ste 200
Kyle, TX 78640-6315
Phone (512) 268-2768
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.