David Glenn Barron, LPTA
Individual provider Active NPI Skilled Nursing Facility · Pleasanton, TX
NPI 1659688281 · NPPES record last updated Sep 2, 2010
Key facts
- NPI
- 1659688281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 2065916 (TX)
- Practice address
- 404 West Goodwin St.
Pleasanton, TX 78064-4002 - Phone
- (830) 569-3861
- NPI assigned
- Sep 2, 2010
- Sex
- Male
- 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 |
|---|---|---|---|
| PTA 1424 | MS | MD | Skilled Nursing Facility |
| 2065916 | TX | MD | Skilled Nursing Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2065916 | TX | Yes |
| Skilled Nursing Facility | 314000000X | PTA 1424 | MS |
Addresses
Primary practice location
404 West Goodwin St.
Pleasanton, TX 78064-4002
Mailing address
15 Ford Rd
Hattiesburg, MS 39401-9380
Phone (601) 466-1112
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All providers in Pleasanton, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2010. 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.