Barium Surgical PLLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

BARIUM SURGICAL PLLC

Practice address

25 Highland Park VLG Ste 100-829
Dallas, TX 75205-2789

Phone

(469) 908-3519

Fax

(205) 729-5887

NPI assigned

Jul 16, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jean Louis Benae, MD

Title

Admin

Phone

(469) 908-3519

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1346858271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND PARK VLG STE 100-829",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052789",
            "telephone_number": "469-908-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND PARK VLG STE 100-829",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052789",
            "telephone_number": "469-908-3519",
            "fax_number": "205-729-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIUM SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "BENAE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "469-908-3519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexis Barker
• Blake Robert Barker, M.D.

• Surgical Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.