Basic Information
Provider Information
NPI: 1558614180
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARRENO
FirstName: RAMON
MiddleName: XAVIER
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 650865
Address2:  
City: DALLAS
State: TX
PostalCode: 752650865
CountryCode: US
TelephoneNumber: 9727155000
FaxNumber: 9727159976
Practice Location
Address1: 6606 LBJ FWY
Address2: STE. 200
City: DALLAS
State: TX
PostalCode: 752406533
CountryCode: US
TelephoneNumber: 9727155000
FaxNumber: 9727159976
Other Information
ProviderEnumerationDate: 10/19/2012
LastUpdateDate: 03/17/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XN7217TXY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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